Individual
JERI ANN BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
156 GRANVILLE ST, GAHANNA, OH 43230-6505
(614) 470-6240
Mailing address
64700 WOODGEARD RD, CREOLA, OH 45622-8804
(740) 590-2314
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
08471
OH
Other
Enumeration date
12/23/2013
Last updated
12/23/2013
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