Gordon R Estlack, MPT

NPI #1750609624 in Lima, Ohio

Provider Information

NPI Number
1750609624
Entity Type
Individual
Name
Gordon R Estlack, MPT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
MPT
Enumeration Date
May 17, 2010
Last Updated
Nov 15, 2018

Practice Location

Address
801 MEDICAL DR STE A
City
Lima
State
Ohio
ZIP Code
45804-4030
Phone
(419) 222-6622

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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