Individual
JESSICA S PISANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
23811 CHAGRIN BLVD, STE 120, BEACHWOOD, OH 44122-5555
(216) 682-0413
(216) 682-0417
Mailing address
23811 CHAGRIN BLVD, STE 120, BEACHWOOD, OH 44122-5555
(216) 682-0413
(216) 682-0417
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
015329
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13578147
CAQH
OH
Enumeration date
09/03/2010
Last updated
02/15/2017
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