Individual
MRS. JANNIS EVON DURR-MINCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4320 BRIDGETOWN RD, CINCINNATI, OH 45211-4428
(513) 564-4550
Mailing address
3922 FARRELL DR, CINCINNATI, OH 45211-3706
(513) 410-4580
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2954
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2954
PHYSICAL THERAPY ASSISTANT LICENSE
OH
Enumeration date
10/22/2020
Last updated
10/22/2020
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