Individual
JEANIE DUBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
555 ANTHONY WAYNE TRL, WATERVILLE, OH 43566-1516
(419) 878-3901
(419) 878-6872
Mailing address
555 ANTHONY WAYNE TRL, WATERVILLE, OH 43566-1516
(419) 878-3901
(419) 878-6872
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-5391
OH
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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