Individual
JESSICA LEE CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
10925 REED HARTMAN HWY, BLUE ASH, OH 45242-2836
(513) 410-2675
Mailing address
5309 KENRIDGE DR, BLUE ASH, OH 45242-4835
(812) 528-6346
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT013643
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0074629
—
OH
Enumeration date
04/01/2009
Last updated
10/06/2024
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