Individual
MRS. SONJA HALLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1600 CRIDER RD, MANSFIELD, OH 44903
(419) 589-7611
(419) 589-3430
Mailing address
1600 CRIDER RD, MANSFIELD, OH 44903
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
08105
OH
Other
Enumeration date
02/03/2014
Last updated
06/26/2015
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