Individual
JENNIFER RAE CRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4440 GLEN ESTE WITHAMSVILLE RD, SUITE 500, CINCINNATI, OH 45245-1318
(513) 943-3630
(513) 753-4308
Mailing address
4440 GLEN ESTE WITHAMSVILLE RD, SUITE 500, CINCINNATI, OH 45245-1318
(513) 943-3630
(513) 753-4308
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT.005504
KY
225100000X
Physical Therapist
Primary
PT.012632
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0074602
—
OH
Enumeration date
06/05/2012
Last updated
01/24/2014
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