Most Relevant Information
Provider Data
| NPI Number: | 1003389271 |
| Provider Name: | STEPHANIE MARIE CORLEW |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 5853 |
Most Important Dates
| Enumeration Date: | 01/09/2019 |
| Last Updated: | 01/09/2019 |
Provider Practice Location
607 LAKE AVE
ASHTABULA
OH
440043262
Practice Location Phone/Fax
| Phone: | 4409642035 |
| Fax: |
Provider Mailing Location
2419 W 11TH ST
ASHTABULA
OH
440042545
Provider Mailing Phone/Fax
| Phone: | 4408133438 |
| Fax: |