Jessica Dunham, PTA
Physical Therapy Assistant in London, OH. Individual provider (NPI-1).
NPI number1164028783
StatusActive
Last updated in NPPESDec 9, 2020
Details
- NPI
- 1164028783
- Entity type
- Individual (NPI-1)
- Name
- Jessica Dunham
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 9, 2020
- Certification date
- Dec 9, 2020
- Last updated
- Dec 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 012795 | OH | Yes |
Practice location
351 E High StLondon, OH 43140-9773
Phone 614-499-4047
Mailing address
351 E High StLondon, OH 43140-9773
Phone 614-499-4047
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