Individual
JAEANN DE MUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6847 N CHESTNUT ST, RAVENNA, OH 44266-3929
(330) 297-2770
Mailing address
15804 LOWE RD NE, ALLIANCE, OH 44601-9332
(330) 823-1759
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
L1146432
OH
Other
Enumeration date
03/13/2009
Last updated
03/13/2009
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