Individual
MS. JESSICA LYNN DUNAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
4440 GLEN ESTE WITHAMSVILLE RD, CINCINNATI, OH 45245-1318
(513) 943-3630
(513) 753-4308
Mailing address
4701 CREEK RD, SUITE 110, BLUE ASH, OH 45242-8398
(513) 733-9333
(513) 588-2479
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
004986
KY
225100000X
Physical Therapist
Primary
PT.013871
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0074655
—
OH
Enumeration date
03/10/2008
Last updated
01/15/2013
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