Individual
MANDY PRUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
350 W WILSON BRIDGE RD, WORTHINGTON, OH 43085-2585
(615) 505-8920
Mailing address
350 W WILSON BRIDGE RD, WORTHINGTON, OH 43085-2585
(615) 505-8920
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PTA013388
OH
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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