Individual
MRS. ALLYSON SUZANNE WESSELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, IBCLC
Contact information
Practice address
2268 NORTHWEST BLVD, COLUMBUS, OH 43221-3821
(740) 710-1378
Mailing address
2268 NORTHWEST BLVD, COLUMBUS, OH 43221-3821
(740) 710-1378
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-58094
OH
225100000X
Physical Therapist
008993
OH
Other
Enumeration date
02/15/2015
Last updated
02/16/2015
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