Individual
JERRICA HOLTHAUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11230 STATE ROUTE 364, SAINT MARYS, OH 45885-9534
(419) 394-6757
Mailing address
935 LOY RD, FORT LORAMIE, OH 45845-9713
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
OH
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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