IndividualActive
Debora Prendergast, PTA
NPI 1619174547 · Physical Therapy Assistant · Minerva, OH
Provider details
- NPI number
- 1619174547
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- PTA03600 (OH)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
400 Carolyn Ct
Minerva, OH 44657-8703
Phone: (330) 868-4104
Fax: (330) 868-7714
Approximate (ZIP-level) locationGet directions
Mailing address
7995 Knox School Rd
Minerva, OH 44657-9437
Registry dates
- Enumerated
- 2007-07-03
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.