Individual
MRS. JENNIFER DUPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9772 DIAGONAL RD, MANTUA, OH 44255-9128
(330) 274-2272
(330) 274-3140
Mailing address
27855 TINKERS VALLEY DR, SOLON, OH 44139-2161
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT008768
OH
Other
Enumeration date
07/05/2006
Last updated
07/08/2007
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