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1053731281
MATTHEW FORTNEY
NORTH CANTON, OH
NPI
1053731281
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OH PTA. 09392)
Enumeration Date
2014-04-28
Last Update Date
2014-04-28
Business Address
MATTHEW FORTNEY LPTA
339 E MAPLE ST
NORTH CANTON, OH 44720-2593
Phone number: 330-498-8239
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Mailing Address
MATTHEW FORTNEY LPTA
339 E MAPLE ST
NORTH CANTON, OH 44720-2593
Phone number: 330-498-8239
Copy
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