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Individual

DOUGLAS D ZASTROW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPT

Contact information

Practice address
4235 SECOR RD, TOLEDO, OH 43623
(419) 479-5960
(419) 479-5435
Mailing address
4235 SECOR RD, TOLEDO, OH 43623
(419) 479-5960

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
PT003548
OH
225100000X
Physical Therapist
Primary
PT.003548
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0611556
OH
Enumeration date
09/26/2006
Last updated
06/03/2013
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