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Individual

STEPHANIE HATZIDAKIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1330 FULTON ST, PORT CLINTON, OH 43452-9297
(419) 734-5506
Mailing address
230 FREMONT ST, ELMORE, OH 43416-9589
(419) 463-0725

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
08776
OH

Other

Enumeration date
06/24/2015
Last updated
06/24/2015
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