Individual
MRS. JESSICA BETH NEAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
2270 WARRENSBURG RD, DELAWARE, OH 43015-1336
(740) 369-9614
Mailing address
777 IRVIN SHOOTS RD E, MARION, OH 43302-9739
(740) 225-1718
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA05590
OH
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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