MS. Jennifer Anita Bacon, PTA

NPI #1447686233 in Lima, Ohio

Provider Information

NPI Number: 1447686233
Entity Type: Individual
Name: MS. Jennifer Anita Bacon, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Sep 24, 2013
Last Updated: Sep 24, 2013

Practice Location

Address: 804 S MUMAUGH RD
City: Lima
State: Ohio
ZIP Code: 45804-3569
Phone: (419) 225-9040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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