Individual
JOSHUA TENNANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
T6108
MD
225100000X
Physical Therapist
Primary
11996
OH
Other
Enumeration date
09/10/2007
Last updated
02/03/2012
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