Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Apr 15, 2020
License(s)
012368 (PA), PT006458 (OH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 95 HILLTOP BLVD | Canfield, OH 44406-1219 | 330-519-3394 |
| LOCATION | 16887 SAINT CLAIR AVE STE 108 | East Liverpool, OH 43920-9401 | 234-287-6660 |
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