Individual
XAVIER DANIEL EHRET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
621 SCHOOL DR, WADSWORTH, OH 44281-2099
(330) 334-0705
Mailing address
4548 7TH ST SW, CANTON, OH 44710-1355
(330) 491-6617
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA013588
OH
Other
Enumeration date
10/17/2023
Last updated
10/21/2023
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