MRS. Debora Jean Prendergast, PTA

NPI #1619174547 in Minerva, Ohio

Provider Information

NPI Number: 1619174547
Entity Type: Individual
Name: MRS. Debora Jean Prendergast, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jul 3, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 400 CAROLYN CT
City: Minerva
State: Ohio
ZIP Code: 44657-8703
Phone: (330) 868-4104

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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