Jennifer Derose

NPI #1821457185 in Lima, Ohio

Provider Information

NPI Number: 1821457185
Entity Type: Individual
Name: Jennifer Derose
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Feb 15, 2016
Last Updated: Oct 21, 2020

Practice Location

Address: 1100 SHAWNEE RD
City: Lima
State: Ohio
ZIP Code: 45805-3529
Phone: (419) 999-2010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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