Individual
MS. STEPHANIE LOUISE GADD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
50 BLYMYER AVE, MANSFIELD MEMORIAL HOMES, MANSFIELD, OH 44903
(419) 774-5100
(419) 756-1267
Mailing address
7326 ST RT 19, UNIT 2514, MT GILEAD, OH 43338
(419) 946-1457
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA02771
OH
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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