Individual
KARA GINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9500 BROADVIEW RD, BROADVIEW HTS, OH 44147-2302
(330) 414-8468
Mailing address
1300 FIRESIDE TRL, BROADVIEW HTS, OH 44147-3678
(330) 414-8468
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
012652
OH
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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