Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | PT 004435 | OH |
NPI | 1093931172 |
---|---|
Provider Name | Mrs. Jane Leah Caprez |
First Address | Akron, OH 44313-5862 |
Second Address | Akron, OH 44313-5862 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2007 |
Last Update Date | 08/07/2007 |