Individual
PAIGE ROCHELLE SHANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1762 S BUCHANAN ST, FREMONT, OH 43420-4943
(419) 701-1355
Mailing address
1762 S BUCHANAN ST, FREMONT, OH 43420-4943
(419) 701-1355
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PTA013087
OH
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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