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Individual

AMBER THIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
3720 N RIDGE RD W, ASHTABULA, OH 44004-6366
(440) 261-3100
Mailing address
2804 AVON BLVD, ASHTABULA, OH 44004-5143
(440) 789-2033

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA012124
OH

Other

Enumeration date
04/22/2019
Last updated
04/22/2019
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