Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Sep 15, 2025
License(s)
PT021750 (OH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1730 W 25TH ST | Cleveland, OH 44113-3108 | |
| LOCATION | 1730 W 25TH ST | Cleveland, OH 44113-3108 | 216-696-4300 |
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