Individual
DR. JON-ROSS JESSE RENE ENNEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3449 NEWMARK DR, MIAMISBURG, OH 45342-5426
(937) 281-1286
Mailing address
1413 DODDINGTON RD, DAYTON, OH 45409-1751
(269) 830-6166
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251P0200X
Pediatric Physical Therapist
PT020784
OH
Other
Enumeration date
11/15/2023
Last updated
12/19/2024
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