Individual
HEATHER S KOLKEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
825 JUNE ST, FREMONT, OH 43420-3417
(419) 332-0357
Mailing address
825 JUNE ST, FREMONT, OH 43420-3417
(419) 332-0357
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA. 03482
OH
Other
Enumeration date
08/27/2010
Last updated
10/05/2012
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