Individual
MRS. ASHLEE JO DURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
700 HELEN ST, CLYDE, OH 43410-2051
(419) 547-4280
(419) 547-1605
Mailing address
328 N MULBERRY ST, CLYDE, OH 43410-1515
(419) 547-3094
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5572
OH
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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