Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | PTA02561 | OH |
NPI | 1013288109 |
---|---|
Provider Name | Mrs. Ann Marie Riegelmayer |
First Address | Westlake, OH 44145-4033 |
Second Address | Westlake, OH 44145-4033 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2012 |
Last Update Date | 20/01/2012 |