Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | PTA. 03271 | OH |
NPI | 1003226614 |
---|---|
Provider Name | Anna Fugate |
First Address | North Canton, OH 44720-2593 |
Second Address | North Canton, OH 44720-2593 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2014 |
Last Update Date | 05/05/2014 |