Individual
MRS. KATHLEEN NICOLE GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
195 FOREST LAWN BLVD, MARION, OH 43302-4370
(740) 375-8613
Mailing address
195 FOREST LAWN BLVD, MARION, OH 43302-4370
(740) 375-8613
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 11908
OH
Other
Enumeration date
10/18/2007
Last updated
10/18/2007
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