Individual
STEPHEN THAXTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
142 JENKINS MEMORIAL RD, WELLSTON, OH 45692-9561
(740) 384-3039
Mailing address
142 JENKINS MEMORIAL RD, WELLSTON, OH 45692-9561
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.06365
OH
Other
Enumeration date
10/26/2012
Last updated
10/26/2012
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