Individual
CRYSTAL SODERGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2511 BENTLEY DR, SALEM, OH 44460-2503
(330) 337-3015
Mailing address
442 EAST ST, EAST PALESTINE, OH 44413-1738
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
01406
OH
Other
Enumeration date
07/12/2010
Last updated
07/12/2010
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