Individual
MRS. DEANNA MARIE MCCOMISH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
L.A.T.C, P.T.
Contact information
Practice address
7117 ORCHARD CENTRE DR, HOLLAND, OH 43528-7974
(419) 866-9675
(419) 866-5716
Mailing address
7117 ORCHARD CENTRE DR, HOLLAND, OH 43528-7974
(419) 866-9675
(419) 866-5716
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT-4112
OH
2251E1200X
Ergonomics Physical Therapist
PT-4112
OH
2251S0007X
Sports Physical Therapist
PT-4112
OH
2251X0800X
Orthopedic Physical Therapist
PT-4112
OH
2255A2300X
Athletic Trainer
Primary
AT-96
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2514747
—
OH
Enumeration date
05/26/2006
Last updated
09/11/2025
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