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Individual

MRS. JOANNA MARIE WAITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.P.T.

Contact information

Practice address
75 GLAMORGAN ST, STE 110, ALLIANCE, OH 44601-2938
(330) 821-2249
(330) 821-9318
Mailing address
75 GLAMORGAN ST, STE 110, ALLIANCE, OH 44601-2938
(330) 821-2249
(330) 821-9318

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-008153
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2703855
OH
Enumeration date
07/27/2006
Last updated
08/22/2008
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