Individual
SUSAN HATFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
08044
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437540069
SPORTS MEDICINE SPECIALISTS
OH
Enumeration date
03/06/2018
Last updated
06/11/2019
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