Individual
MR. JUSTIN L ELDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
3720 N RIDGE RD W, ASHTABULA, OH 44004-6366
(440) 261-3100
Mailing address
14830 TEAL DR, CHARDON, OH 44024-2402
(440) 417-4357
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA001257
OH
Other
Enumeration date
04/18/2017
Last updated
04/18/2017
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