Individual
JON GILLESPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
584 COUNTY LINE RD W, WESTERVILLE, OH 43082-7245
(614) 355-8746
Mailing address
584 COUNTY LINE RD W, WESTERVILLE, OH 43082-7245
(614) 355-8746
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
AT000484
OH
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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