DEREK PHILIP PROUDFOOT

CANTON, OH
NPI1679911689
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OH  08852)
Enumeration Date2013-06-12
Last Update Date2013-06-12
Business Address
-- DEREK PHILIP PROUDFOOT LPTA
339 E MAPLE ST
CANTON, OH 44720-2593
Phone number: 330-498-8239
Mailing Address
-- DEREK PHILIP PROUDFOOT LPTA
2325 N LATHROP RD
SWANTON, OH 43558-9675
Phone number: 419-344-5054
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