Individual
THERESA PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 ELMWOOD CIR, WEST CARROLLTON, OH 45449-2428
(937) 866-3814
Mailing address
16 SCHNEIDER DR, FAIRBORN, OH 45324-5222
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-3512
OH
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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