Individual
RAYNE NIKOLE KOHLENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
45 ST LAWRENCE DR, TIFFIN, OH 44883-8310
(419) 445-7000
Mailing address
3323 MAIN ST, BURGOON, OH 43407-9701
(419) 307-3113
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA013427
OH
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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