Most Relevant Information
Provider Data
| NPI Number: | 1003200783 |
| Provider Name: | MARY ELIZABETH ANKROM ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | AT.004520 |
Most Important Dates
| Enumeration Date: | 03/20/2015 |
| Last Updated: | 03/20/2015 |
Provider Practice Location
501 E. HIGH ST.
OXFORD
OH
45056
Practice Location Phone/Fax
| Phone: | 5135291809 |
| Fax: |
Provider Mailing Location
4648 FAIRWAY DR
GENEVA
OH
440419781
Provider Mailing Phone/Fax
| Phone: | 4409694351 |
| Fax: |