Individual
DEVIN KYLE WAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1114 NEIGHBORHOOD DR, BATAVIA, OH 45103-2874
(513) 688-7250
Mailing address
1433 DOUBLE EAGLE CT, LEBANON, OH 45036-7026
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
012485
OH
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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