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1770127920
SEAN P ENDEBROCK
LEBANON, OH
NPI
1770127920
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OH PTA.008421)
Enumeration Date
2019-10-31
Last Update Date
2019-10-31
Business Address
SEAN P ENDEBROCK PTA
96 ROUGH WAY UNIT 12
LEBANON, OH 45036-8187
Phone number: 440-796-2191
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Mailing Address
SEAN P ENDEBROCK PTA
339 E MAPLE ST
NORTH CANTON, OH 44720-2593
Phone number: 330-498-8200
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