Individual
JESSE MAGGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
311 N COMMERCE ST, LEWISBURG, OH 45338-9341
(513) 461-3586
Mailing address
311 N COMMERCE ST, LEWISBURG, OH 45338-9341
(513) 461-3586
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
08135
OH
Other
Enumeration date
12/19/2011
Last updated
12/19/2011
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