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NPI Code Detail

MEDICARE: JESSICA ANN SAKIE PT

MEDICARE: JESSICA ANN SAKIE 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 Therapist012057OH

General Provider Information

NPI Number : 1609227172
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA ANN SAKIE PT
Provider Business Mailing Address
First Line : 3118 HOLLY DR
Second Line :
City : BRUNSWICK
State : OH
Zip : 44212-3732
Country : US
Telephone Number : 614-668-0595
Fax Number :
Provider Business Practice Location Address
First Line : 7390 OLD OAK BLVD
Second Line :
City : MIDDLEBURG HEIGHTS
State : OH
Zip : 44130-3328
Country : US
Telephone Number : 440-816-8010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2016
Last Update Date : 06/27/2016

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