Individual
KAITLYN LIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1649 MORRISON RD, FREMONT, OH 43420-4855
(419) 680-1697
Mailing address
1649 MORRISON RD, FREMONT, OH 43420-4855
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.08970
OH
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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