Individual
ALLEN MORELOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1330 FULTON ST, PORT CLINTON, OH 43452-9297
(419) 734-5506
Mailing address
501 S PATTERSON ST, GIBSONBURG, OH 43431-1236
(419) 307-5562
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
04124
OH
225200000X
Physical Therapy Assistant
Primary
TEI005312
PA
Other
Enumeration date
06/24/2015
Last updated
01/26/2021
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