Individual
JENNA K STUCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3768 COUNTY ROAD 25, ARCHBOLD, OH 43502-9118
(419) 822-1386
Mailing address
339 E MAPLE ST, NORTH CANTON, OH 44720-2593
(330) 498-8200
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.008262
OH
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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