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1487340170
TERESA LYNN BACON
MONCLOVA, OH
NPI
1487340170
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OH PTA002728)
Enumeration Date
2023-04-14
Last Update Date
2023-04-14
Business Address
Ms. TERESA LYNN BACON PTA, LNHA
5069 OTTERBEIN WAY
MONCLOVA, OH 43542-8500
Phone number: 419-878-0550
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Mailing Address
Ms. TERESA LYNN BACON PTA, LNHA
22898 PARGILLIS RD
PERRYSBURG, OH 43551-9606
Phone number: 419-340-2107
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