Individual
JOSEPH DEBORTOLI III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
214 S MUNSON RD, SWANTON, OH 43558-1210
(419) 464-3899
Mailing address
7472 W LAKE RD, PERRYSBURG, OH 43551-4565
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.07939
OH
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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