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Individual

MR. GERALD BREEDLOVE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPT, ATC

Contact information

Practice address
3058 LATIMER RD, ROCK CREEK, OH 44084-9632
(440) 563-9144
Mailing address
3058 LATIMER RD, ROCK CREEK, OH 44084-9632
(440) 563-9144

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0013055
OH

Other

Enumeration date
12/14/2010
Last updated
04/08/2011
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