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1851176317
JACOB ANDREW SIDLE
TIFFIN, OH
NPI
1851176317
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OH PTA013550)
Enumeration Date
2023-08-31
Last Update Date
2023-08-31
Business Address
JACOB ANDREW SIDLE PTA
2550 S STATE ROUTE 100
TIFFIN, OH 44883-9356
Phone number: 419-447-7203
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Mailing Address
JACOB ANDREW SIDLE PTA
759 HAMPSHIRE CT
AMHERST, OH 44001-1813
Phone number: 440-334-6873
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