Individual
JESSICA ANN FONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3927 38TH ST NW, CANTON, OH 44718-2900
(330) 493-0096
Mailing address
805 HILLCREST AVE SW, NORTH CANTON, OH 44720-2809
(330) 904-8697
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT8103
OH
Other
Enumeration date
01/21/2019
Last updated
01/21/2019
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