Individual
RICHARD IVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7235 WHIPPLE AVE NW, NORTH CANTON, OH 44720-7137
(330) 498-8200
Mailing address
328 FAIRVIEW AVE, GALION, OH 44833-2012
(419) 631-4396
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.03726
OH
Other
Enumeration date
11/21/2007
Last updated
11/21/2007
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