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Organization
THE PT CENTER FOR SPORTS MEDICINE
Active
Organization
THE PT CENTER FOR SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA OUTWATER (OFFICE MANAGER)
(330) 869-2635
Entity
Organization
Contact information
Practice address
2660 W MARKET ST STE 300, FAIRLAWN, OH 44333-4209
(330) 869-2635
(330) 869-8315
Mailing address
2660 W MARKET ST STE 300, FAIRLAWN, OH 44333-4209
(330) 869-2635
(330) 869-8315
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003349
OH
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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