Individual
JACK MUSIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
717 S 30TH ST, HEATH, OH 43056-1294
(740) 522-1171
Mailing address
363 REDWOOD DR, NEWARK, OH 43055-7533
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT019670
OH
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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