Organization
THE PT CENTER FOR SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA OUTWATER (OFFICE MANAGER)
(330) 869-2635
Entity
Organization
Contact information
Practice address
2660 W MARKET ST STE 300, FAIRLAWN, OH 44333-4209
(330) 869-2635
(330) 869-8315
Mailing address
2660 W MARKET ST STE 300, FAIRLAWN, OH 44333-4209
(330) 869-2635
(330) 869-8315
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003740
OH
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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