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1417138272
RICHARD IVY
NORTH CANTON, OH
NPI
1417138272
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OH PTA.03726)
Enumeration Date
2007-11-21
Last Update Date
2007-11-21
Business Address
-- RICHARD IVY
7235 WHIPPLE AVE NW
NORTH CANTON, OH 44720-7137
Phone number: 330-498-8200
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Mailing Address
-- RICHARD IVY
328 FAIRVIEW AVE
GALION, OH 44833-2012
Phone number: 419-631-4396
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