Individual
ROSALEEN C WAGGENSPACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1563 E DOROTHY LN STE 200, KETTERING, OH 45429-3856
(937) 286-6088
Mailing address
1120 BELVOIR AVE, KETTERING, OH 45409-1427
(937) 286-6088
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
33.01665
OH
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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