Organization
EXECUTIVE REHAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANE ANN SNOW (SPEECH, LANGUAGE PATHOLOGIST)
(740) 344-9199
Entity
Organization
Contact information
Practice address
1945 TAMARACK RD, NEWARK, OH 43055-1300
(740) 349-9777
Mailing address
1945 TAMARACK RD, NEWARK, OH 43055-1300
(740) 349-9777
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 6673
OH
Other
Enumeration date
08/31/2012
Last updated
08/31/2012
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