Individual
MR. CHARLES RAY GADD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTAL
Contact information
Practice address
1750 W 4TH ST, MEDCENTRAL HEALTH SYSTEM, MANSFIELD, OH 44906
(419) 526-8212
Mailing address
7326 ST RTE 19, UNIT 2514, MT GILEAD, OH 43338
(419) 946-1457
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA01177
OH
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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