Individual
MS. KELLY SUE PATTON-COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA,LMT
Contact information
Practice address
514 MADISON ST, PORT CLINTON, OH 43452-1946
(419) 960-7195
(419) 960-7195
Mailing address
514 MADISON ST, PORT CLINTON, OH 43452-1946
(419) 960-7195
(419) 960-7195
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
PTA 2970
OH
225700000X
Massage Therapist
Primary
8425
OH
Other
Enumeration date
05/04/2007
Last updated
11/10/2009
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