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1114931292
EDWARD ANTHONY JENDRISAK
RICHFIELD, OH
NPI
1114931292
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2251G0304X Physical Therapist, Geriatrics
(Licence: OH PT05915)
Enumeration Date
2006-07-27
Last Update Date
2007-07-08
Business Address
-- EDWARD ANTHONY JENDRISAK PT
4054 FORESTRIDGE DR
RICHFIELD, OH 44286-9576
Phone number: 330-659-0769
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Mailing Address
-- EDWARD ANTHONY JENDRISAK PT
4054 FORESTRIDGE DR
RICHFIELD, OH 44286-9576
Phone number: 330-659-0769
Copy
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