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NPI Code Detail

MEDICARE: AMY JONARD DPT

MEDICARE: AMY JONARD DPT
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 TherapistPT018362OH

General Provider Information

NPI Number : 1316425978
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY JONARD DPT
Provider Business Mailing Address
First Line : 4611 TRUEMAN BLVD STE B
Second Line :
City : HILLIARD
State : OH
Zip : 43026-2644
Country : US
Telephone Number : 143-400-6836
Fax Number : 614-345-0734
Provider Business Practice Location Address
First Line : 4611 TRUEMAN BLVD STE B
Second Line :
City : HILLIARD
State : OH
Zip : 43026-2644
Country : US
Telephone Number : 614-340-0683
Fax Number : 614-345-0734
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2018
Last Update Date : 01/26/2021

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