Individual
GINA MENKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27 ST LAWRENCE DR STE 104TH, TIFFIN, OH 44883-8312
(419) 604-0649
Mailing address
741 N HALL ST, OTTAWA, OH 45875-1448
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
016206
OH
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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