Individual
JESSICA QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4710 OLD TROY PIKE, DAYTON, OH 45424-5740
(937) 233-3210
(937) 236-8930
Mailing address
4710 OLD TROY PIKE, DAYTON, OH 45424-5740
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT013726
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0510772
—
OH
Enumeration date
06/25/2012
Last updated
06/25/2012
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