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Stephanie Marie Corlew

Specialist/Technologist, Athletic Trainer in Ashtabula, OH. Individual provider (NPI-1).

NPI number1003389271
StatusActive
Last updated in NPPESJan 9, 2019

Details

NPI
1003389271
Entity type
Individual (NPI-1)
Name
Stephanie Marie Corlew
Sex
Female
Sole proprietor
No
Enumeration date
Jan 9, 2019
Last updated
Jan 9, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer1015OHYes
225200000X Physical Therapy Assistant5853OH

Practice location

607 Lake Ave
Ashtabula, OH 44004-3262

Phone 440-964-2035

Mailing address

2419 W 11th St
Ashtabula, OH 44004-2545

Phone 440-813-3438

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