Individual
CLIFTON AUGUSTUS WILLOUGHBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA/ATC
Contact information
Practice address
6210 CLEVES WARSAW PIKE, CINCINNATI, OH 45233-4510
(513) 309-2825
Mailing address
6210 CLEVES WARSAW PIKE, CINCINNATI, OH 45233-4512
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA010757
OH
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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