Individual
MS. JACQUELINE ROME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3916 DURHAM CT., TOLEDO, OH 43623
(419) 205-5098
Mailing address
3916 DURHAM CT, TOLEDO, OH 43623-3326
(419) 205-5098
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10340
OH
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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