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NPI Code Detail

MEDICARE: DIANE JAHNES PT

MEDICARE:   DIANE  JAHNES  PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist001727OH

General Provider Information

NPI Number : 1629443213
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANE JAHNES PT
Provider Business Mailing Address
First Line : 3970 PERT HILL RD
Second Line :
City : HOPEWELL
State : OH
Zip : 43746-9762
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2701 CHESTNUT STATION ROAD
Second Line : PARAGON REHABILITATION
City : LOUISVILLE
State : KY
Zip : 40299-6395
Country : US
Telephone Number : 800-335-1060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2015
Last Update Date : 12/08/2015

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