Individual
AMY L JANECEZK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
26 N UNION ST, DELAWARE, OH 43015-1922
(740) 362-9641
Mailing address
3534 MAPLE GROVE RD, MARION, OH 43302-8239
(740) 262-1611
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06223
OH
Other
Enumeration date
03/28/2007
Last updated
08/14/2014
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