Leisa Marie Jolliff PTA

NPI 1780783209 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1780783209
Gender Female
Enumeration Date 09/21/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
711 RUSH AVE
BELLEFONTAINE OH, 43311, US
Phone (937) 592-1625
Fax (937) 592-3489
Business Location
711 RUSH AVE
BELLEFONTAINE OH, 43311, US
Phone (937) 592-1625
Fax (937) 592-3489
Toxanomy
Taxonomy Code 225200000X
License State Ohio
License Number PTA00725
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According to our database, Mrs. Leisa Marie Jolliff PTA NPI is 1780783209, taxonomy code is 225200000X and license number is PTA00725, license state is located at Ohio. Leisa Marie Jolliff PTA physically located at 711 Rush Ave, Bellefontaine OH, 43311. NPI Number Leisa Marie Jolliff PTA has the Individual type.

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1780783209 NPI number is provided on an as is basis without warranty of any kind. 1780783209 is maintained by the National Plan & Provider Enumeration System. The contents of Leisa Marie Jolliff PTA are for informational purposes only.