Individual
THERESA A OSWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
945 BETHANY TPKE, HONESDALE, PA 18431
(570) 470-8071
Mailing address
945 BETHANY TPKE, HONESDALE, PA 18431-4041
(570) 470-8071
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
34432-020
WI
208100000X
Physical Medicine & Rehabilitation Physician
35.129337
OH
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD456608
PA
208100000X
Physical Medicine & Rehabilitation Physician
N5303
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32103300
—
WI
Enumeration date
07/14/2006
Last updated
01/02/2019
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