Individual
MR. KEVIN L. OUTWATER SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, ATC
Contact information
Practice address
2660 W MARKET ST, STE 300, FAIRLAWN, OH 44333-4202
(330) 869-2635
(330) 869-8315
Mailing address
2660 W MARKET ST, STE 300, FAIRLAWN, OH 44333-4206
(330) 869-2635
(330) 869-8315
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-04320
OH
Other
Enumeration date
06/14/2005
Last updated
10/24/2007
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