Individual
GERARD SANTOS EUSEBIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
800 MARKET AVE N, CANTON, OH 44702-1083
(330) 430-2119
(330) 452-1739
Mailing address
800 MARKET AVE N, CANTON, OH 44702-1083
(330) 430-2119
(330) 452-1739
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-5100
OH
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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