Individual
JENNIFER MARIE NIESET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8836 TYLER BLVD, MENTOR, OH 44060-4361
(440) 255-9553
(440) 255-9563
Mailing address
8836 TYLER BLVD, MENTOR, OH 44060-4361
(440) 255-9553
(440) 255-9563
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 008742
OH
Other
Enumeration date
06/13/2007
Last updated
06/19/2014
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