Individual
JASON CLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2095 E WHIPP RD, KETTERING, OH 45440-3005
(937) 470-5157
Mailing address
2095 E WHIPP RD, KETTERING, OH 45440-3005
(937) 470-5157
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 05737
OH
Other
Enumeration date
06/09/2011
Last updated
06/09/2011
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