Individual
MR. GRIFFIN VAN NEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 CHERRY ST, GENOA, OH 43430-1823
(419) 999-9999
Mailing address
300 CHERRY ST, GENOA, OH 43430-1823
(419) 999-9999
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 04573
OH
Other
Enumeration date
09/02/2007
Last updated
01/26/2011
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