Individual
AMANDA ALICE HOBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2170 STUMBO RD, ONTARIO, OH 44906-1275
(419) 756-2525
(419) 756-7640
Mailing address
2170 STUMBO RD, ONTARIO, OH 44906-1275
(419) 756-2525
(419) 756-7640
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT.013530
OH
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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