Individual
MRS. JENNIFER LEIGH HAYSLIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2150 MONTEGO DR, SPRINGFIELD, OH 45503-6464
(937) 390-9913
Mailing address
63 BUCKHORN CT, URBANA, OH 43078-9416
(937) 508-9617
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06653
OH
Other
Enumeration date
10/31/2012
Last updated
10/31/2012
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