Individual
LONDA E SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
367 BUXTON AVE, SPRINGFIELD, OH 45505-2454
(937) 324-7543
Mailing address
367 BUXTON AVE, SPRINGFIELD, OH 45505-2454
(937) 324-7543
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
RT 254077
OH
Other
Enumeration date
12/04/2006
Last updated
08/25/2008
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