Most Relevant Information
Provider Data
| NPI Number: | 1003355223 |
| Provider Name: | JENNIE AVSEC DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT016766 |
Most Important Dates
| Enumeration Date: | 02/21/2017 |
| Last Updated: | 02/21/2017 |
Provider Practice Location
12656 W GEAUGA PLZ
CHESTERLAND
OH
440262505
Practice Location Phone/Fax
| Phone: | 4406884186 |
| Fax: | 4406864187 |
Provider Mailing Location
12656 W GEAUGA PLZ
CHESTERLAND
OH
440262505
Provider Mailing Phone/Fax
| Phone: | 4406884186 |
| Fax: | 4406864187 |