Individual
MRS. KAITLYN NELEH WOLFGANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
781 FAIRGROUNDS RD, MOUNT VERNON, OH 43050-1165
(740) 263-7997
Mailing address
5714 STATE ROUTE 13, BELLVILLE, OH 44813-9014
(419) 709-2444
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA013370
OH
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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