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Individual

JACKLYNN PRACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
16695 CHILLICOTHE RD, CHAGRIN FALLS, OH 44023-4578
(440) 543-4221
Mailing address
16695 CHILLICOTHE RD, CHAGRIN FALLS, OH 44023-4578
(440) 543-4221

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA012270
OH

Other

Enumeration date
05/26/2016
Last updated
10/18/2023
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