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MICHELLE IMWALLE

>> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1154774123

Individual Registrant:
 MICHELLE  IMWALLE 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
800 W MAIN ST  COLDWATER, OH 45828-1613 US
Tel: 419-678-5125  Fax: --

Contact information for business:
800 W MAIN ST  COLDWATER, OH 45828-1613 US
Tel: --  Fax: --

Registration Information:
NPI: 1154774123
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
OH008811

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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