Mrs. Karen Ronnetta Trail
Social Worker Physical Therapist - Sports
6715 Dorr St
Toledo
, Ohio 43615
Mrs. Karen Ronnetta Trail
Social Worker Physical Therapist - Sports
6715 Dorr St
Toledo
, Ohio 43615
(419) 868-1989
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About
Features
Specialties
- Social Worker
- Physical Therapist - Sports
Languages spoken
- English
Location
First Address
- Mrs. Karen Ronnetta Trail
- Po Box 400
- Holland, OH
- Zip : 43528
- Fax : (419) 868-1989
- Phone : (419) 491-8828
Second Address
- Mrs. Karen Ronnetta Trail
- 6715 Dorr St
- Toledo, OH
- Zip : 43615
- Fax : (419) 868-1989
- Phone : (419) 868-1178
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Is Mrs. Karen Ronnetta Trail a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 104100000X | Social Worker | S 0028531 | OH |
| N | 2251S0007X | Physical Therapist - Sports |
National Provider Identifier
| NPI | 1043665946 |
|---|---|
| Provider Name | Mrs. Karen Ronnetta Trail |
| First Address | Holland, OH 43528 |
| Second Address | Toledo, OH 43615 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/04/2016 |
| Last Update Date | 19/11/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0295285 | (05) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.