Individual
LILA TYLER BUCHHOLZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
401 MATTHEW ST, MARIETTA, OH 45750-1635
(740) 374-1400
Mailing address
3500 MCCOY RD, WOOSTER, OH 44691-8962
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.013576
OH
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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