Individual
CORY J TILDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, AT
Contact information
Practice address
6270 ROSELAWN AVE, RAVENNA, OH 44266-1720
(330) 285-2351
Mailing address
6270 ROSELAWN AVE, RAVENNA, OH 44266-1720
(330) 285-2351
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.004197
OH
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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