Individual
MRS. SANDRA KOLANSINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
9500 MENTOR AVE, SUITE 210, MENTOR, OH 44060
(440) 352-0934
(440) 352-7562
Mailing address
11075 CLARK RD, CHARDON, OH 44024-9695
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA04138
OH
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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