Individual
MR. RAYMOND MICHAEL DUBOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
327 W MAIN ST, CRESTLINE, OH 44827-1434
(419) 683-3255
Mailing address
68 S MAIN ST, MARENGO, OH 43334-9416
(419) 253-0708
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA. 08937
OH
Other
Enumeration date
06/25/2013
Last updated
06/25/2013
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