Individual
JACQUELINE PRENTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9120 N BEDFORD RD, MACEDONIA, OH 44056-1208
(330) 592-1339
Mailing address
9120 N BEDFORD RD, MACEDONIA, OH 44056-1208
(330) 592-1339
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.014628
OH
Other
Enumeration date
02/27/2014
Last updated
02/27/2014
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