Individual
ELIZABETH CLOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27 ST LAWRENCE DR STE 104, TIFFIN, OH 44883-8313
(800) 447-8331
Mailing address
3670 E STATE ROUTE 18, TIFFIN, OH 44883-9214
(419) 619-5405
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA012956
OH
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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