Individual
MATT BAUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 CRIDER RD, MANSFIELD, OH 44903-9268
(419) 589-7611
Mailing address
1600 CRIDER RD, MANSFIELD, OH 44903-9268
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
09990
OH
Other
Enumeration date
05/29/2015
Last updated
05/29/2015
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