Individual
JANE MARIE EXTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
28546 STARBRIGHT BLVD, PERRYSBURG, OH 43551-4686
(419) 666-0935
(419) 666-5610
Mailing address
1223 DIXIE HWY, ROSSFORD, OH 43460-1405
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.06317
OH
Other
Enumeration date
04/18/2007
Last updated
11/21/2012
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