Individual
REHAB TALAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5700 MONROE ST UNIT 310, SYLVANIA, OH 43560-2768
(419) 578-7555
Mailing address
5700 MONROE ST UNIT 310, SYLVANIA, OH 43560-2768
(419) 578-7555
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35.148635
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2018
Last updated
10/16/2023
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