Individual
JENNIFER L OCCKIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5 SEVERANCE CIR, SUITE 10, CLEVELAND HTS, OH 44118-1566
(216) 896-0824
(216) 896-0825
Mailing address
5325 TODD DR, MADISON, OH 44057-2368
(440) 417-2412
(216) 896-0825
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
012404
OH
Other
Enumeration date
05/28/2009
Last updated
05/28/2009
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