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Individual

CHRISTOPHER DALE CANTRELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
750 CHESTNUT ST, GREENVILLE, OH 45331-1312
(937) 547-8000
Mailing address
601 WAYNE AVE, GREENVILLE, OH 45331-1233
(937) 417-9008

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PTA013143
OH

Other

Enumeration date
05/11/2022
Last updated
05/11/2022
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