Individual
JULIAN SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
765 N HAMILTON RD, GAHANNA, OH 43230-8703
(614) 566-0507
Mailing address
8686 SHEAR DR, POWELL, OH 43065-9272
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 05916
OH
Other
Enumeration date
07/27/2007
Last updated
07/27/2007
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