Individual
CARLA I THEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
725 BOARDMAN CANFIELD RD, SUITE B, BOARDMAN, OH 44512-4380
(330) 729-9095
(330) 726-6540
Mailing address
42218 METZ RD, COLUMBIANA, OH 44408-9471
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT004720
OH
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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