Individual
MR. DUSTIN RONALD FORNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AT/PTA
Contact information
Practice address
8737 UNION CENTRE BLVD, WEST CHESTER, OH 45069-4878
(513) 645-2246
(513) 545-2233
Mailing address
8737 UNION CENTRE BLVD, WEST CHESTER, OH 45069-4878
(513) 645-2246
(513) 545-2233
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
PTA.06556
OH
2255A2300X
Athletic Trainer
Primary
AT2660
OH
Other
Enumeration date
05/03/2006
Last updated
09/10/2013
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