Individual
MALCOLM FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AT
Contact information
Practice address
4650 HILLS AND DALES RD NW, CANTON, OH 44708-6220
(330) 491-9675
Mailing address
4650 HILLS AND DALES RD NW, CANTON, OH 44708-6220
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-4174
OH
Other
Enumeration date
03/10/2017
Last updated
03/10/2017
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