Individual
JULEM CEMPRON MANTILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7233 WHIPPLE AVE NW, NORTH CANTON, OH 44720-7137
(330) 498-8200
Mailing address
839 34TH ST NW, APARTMENT 1, CANTON, OH 44709-2960
(330) 313-6515
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011446
OH
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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