Individual
MR. CARL W. MCDERMOTT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
142 JENKINS MEMORIAL RD, WELLSTON, OH 45692-9561
(740) 384-2119
Mailing address
2085 SHARON HOGUE RD, MASURY, OH 44438-8712
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10715
OH
Other
Enumeration date
10/25/2017
Last updated
10/25/2017
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