# JESSICA SUBA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1144888165
- **Gender:** F
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080S0010X | Pediatric Sports Medicine Physician | 34.015824 | OH | Yes |

## Other

- **Enumeration date:** 06/04/2019
- **Last updated:** 04/09/2025