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Organization

GALLIA-JACKSON-VINTON JVSD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. D. KENT LEWIS (SUPERINTENDENT)
(740) 245-5334
Entity
Organization

Contact information

Practice address
351 BUKEYE HILLS RD., RIO GRANDE, OH 45674-0157
(740) 245-5334
(740) 245-9465
Mailing address
351 BUKEYE HILLS RD., RIO GRANDE, OH 45674-0157
(740) 245-5334
(740) 245-9465

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
OH

Other

Enumeration date
06/15/2009
Last updated
06/15/2009
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