Individual
TRICIA MAY MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 S MERIDIAN RD, YOUNGSTOWN, OH 44509
(330) 792-0896
Mailing address
650 S MERIDIAN RD, YOUNGSTOWN, OH 44509-2932
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.07227
OH
Other
Enumeration date
10/05/2010
Last updated
10/05/2010
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