Individual
JACOB LEVI EDMONDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
7981 BEECHMONT AVE, CINCINNATI, OH 45255-3290
(513) 232-1847
(513) 232-2491
Mailing address
7981 BEECHMONT AVE, CINCINNATI, OH 45255-3290
(513) 232-1847
(513) 232-2491
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
012629
OH
Other
Enumeration date
10/02/2009
Last updated
10/02/2009
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