Individual
MATTHEW STEVEN ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2311 NAVE RD SE, MASSILLON, OH 44646-8822
(330) 837-1001
Mailing address
1630 33RD ST NE, CANTON, OH 44714-1552
(330) 417-7174
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA010688
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
910000533103
—
OH
Enumeration date
01/16/2017
Last updated
01/16/2017
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