Individual
VIRGINIA MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
70 NORMANDY DR, PAINESVILLE, OH 44077-1616
(440) 968-3152
Mailing address
70 NORMANDY DR, PAINESVILLE, OH 44077-1616
(440) 968-3152
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 1057
OH
Other
Enumeration date
09/08/2008
Last updated
09/08/2008
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