GORDON R ESTLACK

LIMA, OH
NPI1750609624
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OH  PT012580)
Enumeration Date2010-05-17
Last Update Date2018-11-15
Business Address
GORDON R ESTLACK MPT
801 MEDICAL DR STE A
LIMA, OH 45804-4030
Phone number: 419-222-6622
Mailing Address
GORDON R ESTLACK MPT
801 MEDICAL DR STE A
LIMA, OH 45804-4030
Phone number: 419-222-6622
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