Individual
TAMARA SMALLDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
600 N BRUSH ST, FREMONT, OH 43420-1402
(419) 334-9521
(419) 334-2045
Mailing address
2767 COUNTY ROAD 69, GIBSONBURG, OH 43431-9709
(419) 334-9521
(419) 334-2045
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2663
OH
Other
Enumeration date
07/28/2012
Last updated
07/28/2012
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