Individual
JESSICA ROSE GILLISPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
33200 HEALTH CAMPUS BLVD, AVON, OH 44011-1481
(440) 670-3060
Mailing address
4660 WASHINGTON AVE, LORAIN, OH 44052-5716
(440) 670-3060
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA006180
OH
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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