Individual
GRANT AUGUSTINE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1220 W STATE ST, ALLIANCE, OH 44601-4626
(330) 823-4263
(330) 823-4260
Mailing address
5380 PARKS AVE NE, LOUISVILLE, OH 44641-9587
(330) 575-6197
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
021343
OH
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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