Theodore Allen Story JR.
NPI #1518554211 in Port Washington, Ohio
Provider Information
- NPI Number
- 1518554211
- Entity Type
- Individual
- Name
- Theodore Allen Story JR.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Home Health Aide
- Enumeration Date
- Dec 29, 2020
- Last Updated
- Dec 29, 2020
Practice Location
- Address
- 3633 METZGER HILL RD SW
- City
- Port Washington
- State
- Ohio
- ZIP Code
- 43837-9269
- Phone
- (330) 204-3016
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health Aide |
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