Individual
MR. JOSHUA ANDREW HAZE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
911 CALDWELL ST, PIQUA, OH 45356-2019
(937) 360-7215
Mailing address
911 CALDWELL ST, PIQUA, OH 45356-2019
(937) 360-7215
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10748
OH
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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