Lisa Anne Wynkoop PTA

NPI 1134334386 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1134334386
Gender Female
Enumeration Date 05/11/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
391 CLARK DR
CIRCLEVILLE OH, 43113-1561, US
Phone (740) 474-6036
Fax (740) 420-3342
Business Location
9729 MARCY RD
CANAL WINCHESTER OH, 43110-9511, US
Phone (614) 837-1112
Fax
Toxanomy
Taxonomy Code 225200000X
License State Ohio
License Number PTA 3919
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According to our database, Mrs. Lisa Anne Wynkoop PTA NPI is 1134334386, taxonomy code is 225200000X and license number is PTA 3919, license state is located at Ohio. Lisa Anne Wynkoop PTA physically located at 391 Clark Dr, Circleville OH, 43113-1561. NPI Number Lisa Anne Wynkoop PTA has the Individual type.

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1134334386 NPI number is provided on an as is basis without warranty of any kind. 1134334386 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Anne Wynkoop PTA are for informational purposes only.