Individual
MYRNA JABERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6024 HOOVER RD STE D, GROVE CITY, OH 43123
(614) 871-3832
Mailing address
1374 WESTWOOD AVE, COLUMBUS, OH 43212
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05012
LICENSE#
OH
Enumeration date
05/01/2007
Last updated
07/08/2007
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