Individual
MR. DREW ERIC WIDING
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2800 Q ST, BLDG 824, WPAFB, OH 45433-7947
(937) 255-1236
Mailing address
1801 BURGUNDY LN, DAYTON, OH 45459-3401
(937) 291-1931
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT-005370
PA
Other
Enumeration date
10/04/2005
Last updated
07/08/2007
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