Individual
TED A RATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1174 ALLIANCE ROAD, MINERVA, OH 44657
(330) 868-0076
(330) 868-4096
Mailing address
1174 ALLIANCE RD NW, MINERVA, OH 44657-8736
(330) 868-0076
(330) 868-4096
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4308T212
OH
Other
Enumeration date
01/23/2007
Last updated
11/05/2008
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