Individual
JENNIFER LASSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
14780 STOLTZ RD, DIAMOND, OH 44412-9611
(330) 503-3028
Mailing address
14780 STOLTZ RD, DIAMOND, OH 44412-9611
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8237
OH
225100000X
Physical Therapist
9920
SC
Other
Enumeration date
02/19/2014
Last updated
04/15/2020
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