Search › Ohio › 3747P1801X
Wendy Jack, DSP
NPI 1275406159 · on the registry since 2025 · sole proprietor
Practice
- Address
- 25020 Mill River Rd
Olmsted Falls, OH 44138 - Phone
- (440) 724-1462
Registry record
- Primary taxonomy
- 3747P1801X
3747P1801X
- Also registered as
- 172A00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-09-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio