Individual
MRS. TERRA JO MCLEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
602 TOURNAMENT DR, AVON LAKE, OH 44012-2284
(330) 322-4459
(330) 673-1813
Mailing address
3187 WEXFORD BLVD, STOW, OH 44224-2891
(330) 322-4459
(330) 673-1813
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4810
OH
Other
Enumeration date
08/05/2009
Last updated
08/05/2009
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