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Individual

JEFFREY BALDWIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
A.S. PTA

Contact information

Practice address
18201 CONNEAUT LAKE RD, MEADVILLE, PA 16335-3757
(814) 333-5060
Mailing address
33791 E FREEMONT ST, TOWNVILLE, PA 16360-2909

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE007167
PA

Other

Enumeration date
10/04/2006
Last updated
07/08/2007
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