Individual
MARY KAY EASTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
507 RICHLAND AVE, SUITE 108, ATHENS, OH 45701-3700
(140) 593-8001
(740) 593-5968
Mailing address
6379 GURA RD, ATHENS, OH 45701-9615
(740) 593-3945
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT-002517
OH
Other
Enumeration date
03/24/2007
Last updated
07/08/2007
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