Individual
JACK LEMMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
9320 CANTERBURY LN, MENTOR, OH 44060-6441
(440) 319-4107
Mailing address
9320 CANTERBURY LN, MENTOR, OH 44060-6441
(440) 319-4107
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
018157
OH
Other
Enumeration date
11/04/2019
Last updated
07/21/2022
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