Individual
MR. TIMOTHY ERTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.P,T
Contact information
Practice address
26001 S WOODLAND, BEACHWOOD, OH 44122
(216) 378-6240
Mailing address
260 N PINE CT, AURORA, OH 44202
(330) 562-9314
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
U593784
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
593784
PHYSICAL THERAPY LISCENSE
OH
Enumeration date
05/01/2007
Last updated
07/08/2007
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