Individual
MICHELLE KILGORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
744 BETNER DR, MANSFIELD, OH 44907-2708
(419) 688-2001
Mailing address
744 BETNER DR, MANSFIELD, OH 44907-2708
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
07664
OH
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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