Individual
ALENA MARIE AVALOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3364 KOLBE RD, LORAIN, OH 44053
(440) 282-2244
Mailing address
1903 E. 34TH ST, LORAIN, OH 44055
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06150
OH
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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