Healthcare Provider Details
I. General information
NPI: 1568381796
Provider Name (Legal Business Name): JEAN OCEAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
18810 HARVARD AVE
CLEVELAND OH
44122-6848
US
IV. Provider business mailing address
2255 PAR LN APT 603
WILLOUGHBY HILLS OH
44094-2938
US
V. Phone/Fax
- Phone: 216-752-3600
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225200000X |
| Taxonomy | Physical Therapy Assistant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: