Individual
MR. DOUGLAS ROBERT WILLMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
6200 WHIPPLE AVE NW, NORTH CANTON, OH 44720-7624
(330) 966-8920
(330) 490-7027
Mailing address
378 OAK ST, WADSWORTH, OH 44281-2266
(330) 334-3980
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1694
OH
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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