Individual
JOHN WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, MAT, LMT
Contact information
Practice address
112 E 4TH AVE, COLUMBUS, OH 43201-3506
(614) 395-9369
Mailing address
112 E 4TH AVE, COLUMBUS, OH 43201-3506
(614) 395-9369
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004954
OH
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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