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Individual

JESSICA ROOT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
300 POLARIS PKWY, WESTERVILLE, OH 43082-7989
(614) 776-0970
(614) 212-4900
Mailing address
91 HOWARD AVE UNIT 1, WORTHINGTON, OH 43085-3652
(937) 604-7628
(614) 212-4900

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.022656
IL
2251X0800X
Orthopedic Physical Therapist
PT017752
OH

Other

Enumeration date
10/04/2016
Last updated
02/20/2020
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