Individual
JEFFERY ILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3680 DOLSON CT, CARROLL, OH 43112-9721
(740) 654-0641
Mailing address
3680 DOLSON CT, CARROLL, OH 43112-9721
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10242
OH
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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