Individual
DANIELLE ROBERTA WASSAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 S MAIN ST, WOODSFIELD, OH 43793-1022
(740) 472-1656
(740) 472-0328
Mailing address
47 HADDALE AVE, WHEELING, WV 26003-5824
(304) 242-8722
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2265
WV
225100000X
Physical Therapist
Primary
PT.010957
OH
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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