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Individual

KELLY ELAINE FODO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
27511 HOLIDAY LN STE 105, PERRYSBURG, OH 43551-5397
(419) 873-3488
(419) 873-4777
Mailing address
27511 HOLIDAY LN STE 105, PERRYSBURG, OH 43551-5397
(419) 873-3488
(419) 873-4777

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
014026
OH

Other

Enumeration date
04/19/2013
Last updated
10/16/2015
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