Individual
MRS. MICHELLE ANN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
35300 KAISER CT, WILLOUGHBY, OH 44094-6633
(440) 510-8047
Mailing address
2745 GINGERTREE DR, ASHTABULA, OH 44004-4847
(440) 510-8047
(440) 510-8048
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA04545
OH
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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