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Individual

MRS. JULIE LYNN MCCANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
1880 N PERRY ST, STE 100, OTTAWA, OH 45875
(419) 523-9003
(419) 523-9143
Mailing address
1880 N PERRY ST, STE 100, OTTAWA, OH 45875
(419) 523-9003
(419) 523-9143

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
012420
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2251343
OH
Enumeration date
10/06/2009
Last updated
01/04/2011
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