Individual
ANNE THERESE JACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
24211 CENTER RIDGE RD, WESTLAKE, OH 44145-4211
(440) 250-2520
(440) 250-2530
Mailing address
4255 NORTHFIELD RD, HIGHLAND HILLS, OH 44128-2811
(216) 292-9700
(216) 378-4613
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT018166
OH
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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