Individual
NICOLETTE WOOLLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
19189 STATE ROUTE 136, WINCHESTER, OH 45697-9800
(937) 515-3186
Mailing address
19189 STATE ROUTE 136, WINCHESTER, OH 45697-9800
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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