Organization
DEFIANCE PHYSICAL THERAPY AND SPORTS MEDICINE, LLC
Active
Organization
DEFIANCE PHYSICAL THERAPY AND SPORTS MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN C CRANDALL PT (PHYSICAL THERAPIST, OWNER)
(419) 575-0281
Entity
Organization
Contact information
Practice address
201 E 2ND ST, DEFIANCE, OH 43512-2290
(419) 575-0281
Mailing address
201 E 2ND ST, DEFIANCE, OH 43512-2290
(419) 575-0281
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
012435
OH
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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