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Individual

JENNIE AMICON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
499 E WEISHEIMER RD, COLUMBUS, OH 43214-2238
(614) 365-6001
Mailing address
840 GLADDEN RD, COLUMBUS, OH 43212-3810
(614) 286-0544

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
011171
OH

Other

Enumeration date
05/23/2014
Last updated
05/23/2014
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