Individual
JACOB ANDREW SIDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2550 S STATE ROUTE 100, TIFFIN, OH 44883-9356
(419) 447-7203
Mailing address
759 HAMPSHIRE CT, AMHERST, OH 44001-1813
(440) 334-6873
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA013550
OH
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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