Wanda Jo Dean, MSPT
Individual provider Active NPI Physical Therapist · Ottawa, OH
NPI 1801988290 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1801988290
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5232 (OH)
- Practice address
- 1880 N Perry St
Suite 100
Ottawa, OH 45875-1129 - Phone
- (419) 523-9003
- Fax
- (419) 523-9143
- NPI assigned
- Sep 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5232 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morman Family Chiropractic, LLC | Past | Accepting new patients | |
| Northwest Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5232 | OH | Yes |
Addresses
Primary practice location
1880 N Perry St
Suite 100
Ottawa, OH 45875-1129
Mailing address
208 S Ashberry LN
Ottawa, OH 45875-3006
Phone (419) 523-5519
Other providers in Ottawa, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.