NPI 1003370966

Clifton Augustus Willoughby, PTAATC

Practitioner Physical Therapy Assistant Cincinnati, OH

Practice location

Address: 6210 Cleves Warsaw Pike, Cincinnati, OH 45233-4510
Phone: (513) 309-2825
Mailing address: 6210 Cleves Warsaw Pike, Cincinnati, OH 45233-4512

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA010757 (OH)

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Registry record

NPI: 1003370966
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jan 2019
Record last updated: 24 Jan 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.