Individual
JACQUELYN G. HAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT
Contact information
Practice address
1555 CENTRAL PARKWAY, CINCINNATI, OH 45214-2863
(513) 381-4901
(513) 381-4903
Mailing address
4701 CREEK RD, SUITE 110, CINCINNATI, OH 45242-8398
(513) 733-9333
(513) 588-2479
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.000840
OH
Other
Enumeration date
10/29/2007
Last updated
09/02/2011
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