Individual
MRS. LEANN MARIE THIBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
4687 WYOGA LAKE RD, STOW, OH 44224-1011
(330) 929-0575
Mailing address
2452 THEISS RD, CUYAHOGA FALLS, OH 44223-3045
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT004522
OH
Other
Enumeration date
02/02/2012
Last updated
11/14/2016
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