Individual
JOSEPH DISTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1725 WESTERN AVE STE B, FINDLAY, OH 45840-1390
(419) 422-5526
(419) 422-5562
Mailing address
8437 LAKEBROOK DR, FINDLAY, OH 45840-8870
(419) 422-5526
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-04742
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000355382
ANTHEM
OH
01
—
04764
PARAMOUNT
OH
05
—
2322249
—
OH
01
—
28862522000
BUREAU OF WORKERS COMP
OH
01
—
DI4057732
ADMINISTAR FEDERAL
OH
01
—
P00178552
RR MEDICARE
OH
Enumeration date
06/29/2006
Last updated
01/17/2017
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