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Organization
SUMMIT THERAPY AND PERFORMANCE CENTER, INC.
Active
Organization
SUMMIT THERAPY AND PERFORMANCE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID H. HOFSTETTER P.T. (C.E.O.)
(419) 756-2525
Entity
Organization
Contact information
Practice address
2170 STUMBO RD, ONTARIO, OH 44906-1275
(419) 756-2525
Mailing address
2170 STUMBO RD, ONTARIO, OH 44906-1275
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT 006999
OH
225100000X
Physical Therapist
PT 008961
OH
225100000X
Physical Therapist
Primary
PT 009695
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2693009
—
OH
Enumeration date
05/03/2006
Last updated
03/20/2013
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