Most Relevant Information
Provider Data
| NPI Number: | 1003299686 |
| Provider Name: | JESSICA MANN ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | AT.003108 |
Most Important Dates
| Enumeration Date: | 07/01/2015 |
| Last Updated: | 07/01/2015 |
Provider Practice Location
6278 OAKCREEK DR
CINCINNATI
OH
452475003
Practice Location Phone/Fax
| Phone: | 6145581915 |
| Fax: |
Provider Mailing Location
6278 OAKCREEK DR
CINCINNATI
OH
452475003
Provider Mailing Phone/Fax
| Phone: | 6145581915 |
| Fax: |