Individual
MR. DONALD DEWALD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1859 ALAMO AVE, SPRINGFIELD, OH 45503-6001
(937) 624-5142
Mailing address
1859 ALAMO AVE, SPRINGFIELD, OH 45503-6001
(937) 624-5142
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA09182
OH
Other
Enumeration date
07/31/2015
Last updated
01/18/2022
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