Individual
JASON TENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
4531 COLUMBUS RD, CENTERBURG, OH 43011-9401
(740) 625-5401
Mailing address
1843 MANSFIELD WASHINGTON RD, MANSFIELD, OH 44903-7640
(419) 566-7819
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA007343
OH
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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