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Individual

MR. PATRICK A THAMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
1880 N PERRY ST, SUITE 100, OTTAWA, OH 45875-1129
(419) 523-9003
(419) 523-9143
Mailing address
6263 OLD STATE ROUTE 224, OTTAWA, OH 45875-9766
(419) 234-1958

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002139
OH

Other

Enumeration date
10/02/2006
Last updated
07/08/2007
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