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Individual

MRS. CORTNEY RENEE MORELLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA 04889

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 04889
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PTA 04889
OH LICENSURE
OH
Enumeration date
07/28/2009
Last updated
07/28/2009
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