Individual
MANDY L GWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
419 WATERFORD ST, EDINBORO, PA 16412-5517
(814) 734-5021
(814) 734-1433
Mailing address
1100 SHAWNEE ROAD, LIMA, OH 45805
(419) 999-2030
(419) 991-0909
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI001465
PA
Other
Enumeration date
12/03/2015
Last updated
12/03/2015
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