Individual
MRS. CAROLE LYNN KUNTZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4469 COUNTY ROAD 213, MARENGO, OH 43334-9602
(419) 253-7064
Mailing address
4469 COUNTY ROAD 213, MARENGO, OH 43334-9602
(419) 253-7064
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
07773
OH
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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