Individual
KATIE SUE MORELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1104 WESLEY AVE, BRYAN, OH 43506-2579
(419) 706-1188
Mailing address
17814 COUNTY ROAD 12, PIONEER, OH 43554-9674
(419) 706-1188
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA007817
OH
Other
Enumeration date
12/11/2018
Last updated
12/11/2018
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