Jeffrey Derthick

NPI #1073312591 in Mantua, Ohio

Provider Information

NPI Number: 1073312591
Entity Type: Individual
Name: Jeffrey Derthick
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Day Training, Developmentally Disabled Services
Enumeration Date: Mar 8, 2025
Last Updated: Mar 8, 2025

Practice Location

Address: 6470 STREETER RD
City: Mantua
State: Ohio
ZIP Code: 44255-9729
Phone: (330) 221-1046

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Day Training, Developmentally Disabled Services	251C00000X	Primary

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