Individual
SIERRA JEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
339 E MAPLE ST, NORTH CANTON, OH 44720-2593
(330) 498-8200
Mailing address
24 VAUGHN RD, HADLEY, PA 16130-2230
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE011966
PA
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
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