MR. Mary Margaret Imboden

NPI #1730485681 in Avon Lake, Ohio

Provider Information

NPI Number: 1730485681
Entity Type: Individual
Name: MR. Mary Margaret Imboden
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Feb 9, 2011
Last Updated: Feb 9, 2011

Practice Location

Address: 31825 BAYVIEW DR
Address 2: TOWNHOME # 112
City: Avon Lake
State: Ohio
ZIP Code: 44012-2485
Phone: (440) 476-6766

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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