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Individual
DR. JESSICA A. PROKUP
Active
Individual
DR. JESSICA A. PROKUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
35147383
OH
208100000X
Physical Medicine & Rehabilitation Physician
35.147383
OH
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
35147383
OH
Other
Enumeration date
03/25/2019
Last updated
06/23/2026
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