Individual
STEPHEN MACDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
850 COLUMBIA RD, WESTLAKE, OH 44145-1493
(866) 320-4573
Mailing address
1422 RIO ST, LAKEWOOD, OH 44107-3209
(440) 465-2974
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT019236
OH
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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