Organization
PROACTIVE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES E JENKINS PH.D., P.T. (OWNER)
(740) 971-8344
Entity
Organization
Contact information
Practice address
580 E BROAD ST, PATASKALA, OH 43062-7570
(740) 971-8344
(740) 965-6326
Mailing address
11761 TRENTON RD, GALENA, OH 43021-9511
(740) 971-8344
(740) 965-6326
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT7033
OH
Other
Enumeration date
12/29/2011
Last updated
12/29/2011
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