Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | PTA.08291 | OH |
NPI | 1023101425 |
---|---|
Provider Name | Jill Renee Lahmers |
First Address | Sardinia, OH 45171-8242 |
Second Address | Sardinia, OH 45171-8242 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2006 |
Last Update Date | 10/09/2013 |