Individual
JONATHAN GAGE BEABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
7640 SYLVANIA AVE STE E, SYLVANIA, OH 43560-9263
(419) 251-2061
Mailing address
403 SUPERIOR ST, GENOA, OH 43430-1733
(419) 307-7706
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/15/2015
Last updated
05/29/2025
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