Individual
MISS JAMISON ANN PIATKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
64 COMSTOCK ST, GERMANTOWN, OH 45327-1004
(937) 855-4203
Mailing address
1140 ANKENEY RD, XENIA, OH 45385-9533
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
COND.20201340-SP
OH
235Z00000X
Speech-Language Pathologist
Primary
SP.14460
OH
Other
Enumeration date
08/25/2020
Last updated
08/26/2021
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