Individual
MISS JESSICA ROSE RAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 N 8TH ST, HEBRON, OH 43025-7021
(740) 975-7054
Mailing address
107 N 8TH ST, HEBRON, OH 43025-7021
(740) 975-7054
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA011730
OH
Other
Enumeration date
06/10/2018
Last updated
06/10/2018
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