Individual
HEATHER L JURCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
435 W LIBERTY ST, MEDINA, OH 44256-2221
(216) 749-6650
(330) 723-8920
Mailing address
5000 ROCKSIDE RD STE 500, INDEPENDENCE, OH 44131-2178
(216) 459-2846
(216) 901-2803
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009893
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12726454
CAQH
OH
05
—
2421927
—
OH
Enumeration date
05/12/2006
Last updated
11/06/2019
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