Individual
JESSICA LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2915 CLIFTON AVE, CINCINNATI, OH 45220-2402
(513) 872-2000
(513) 281-8842
Mailing address
8 HARVARD DR, DR, FT MITCHELL, KY 41017-2835
(859) 331-3424
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011080
OH
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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