Serena Jacobs LPTA

NPI 1477701399 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1477701399
Gender Female
Enumeration Date 09/04/2008
Last Updated 09/04/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
7235 WHIPPLE AVE NW
NORTH CANTON OH, 44720-7137, US
Phone (330) 498-8200
Fax
Business Location
519 E HUNTER ST
LOGAN OH, 43138-1412, US
Phone
Fax
Toxanomy
Taxonomy Code 225200000X
License State Ohio
License Number PTA. 06948
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According to our database, Serena Jacobs LPTA NPI is 1477701399, taxonomy code is 225200000X and license number is PTA. 06948, license state is located at Ohio. Serena Jacobs LPTA physically located at 7235 Whipple Ave Nw, North Canton OH, 44720-7137. NPI Number Serena Jacobs LPTA has the Individual type.

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1477701399 NPI number is provided on an as is basis without warranty of any kind. 1477701399 is maintained by the National Plan & Provider Enumeration System. The contents of Serena Jacobs LPTA are for informational purposes only.