Individual
COREY ALLEN JASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4534 COUNTY ROAD 62, RUSHVILLE, OH 43150
(740) 583-4935
Mailing address
339 E MAPLE ST, NORTH CANTON, OH 44720-2593
(330) 498-8200
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.011112
OH
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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