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Individual

MRS. JESSICA SHIPE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
115 MAIN ST, WINTERSVILLE, OH 43953-3733
(740) 266-6855
(740) 264-4376
Mailing address
110 MAIN ST, WINTERSVILLE, OH 43953-3734
(740) 266-4908
(740) 264-4376

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PENDING
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PENDING
LICENSE
OH
Enumeration date
10/05/2009
Last updated
10/05/2009
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