Individual
JOHN EDWARD BLACKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
275 E SUNSET DR, RITTMAN, OH 44270-1165
(330) 927-2060
Mailing address
275 E SUNSET DR, RITTMAN, OH 44270-1165
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4012
OH
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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