Kevin Laurence Outwater

NPI #1679578017 in Fairlawn, Ohio

Provider Information

NPI Number
1679578017
Entity Type
Organization
Organization Name
Kevin Laurence Outwater
Primary Specialty
Physical Therapist
Enumeration Date
Jun 14, 2005
Last Updated
Dec 19, 2014

Practice Location

Address
2660 W MARKET ST
Address 2
STE 300
State
Ohio
ZIP Code
44333-4206
Phone
(330) 869-2635

Authorized Official

Name
MRS. TINA OUTWATER
Title
OFFICE MANAGER
Phone
(330) 239-4186

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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