Individual
JESSYE HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
138 E ELM ST, WAUSEON, OH 43567
(419) 335-1919
(419) 335-1919
Mailing address
10740 STATE ROUTE 295, GRAND RAPIDS, OH 43522-9620
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11390
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679679948
—
OH
Enumeration date
09/15/2006
Last updated
06/04/2018
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