Search › Ohio › 363AS0400X
Samantha Jack, PA-C
NPI 1316314925 · on the registry since 2015
Practice
- Address
- 725 University Blvd
Beavercreek, OH 45324 - Phone
- (937) 245-7150
- Organisation at this address
- Accelerated Rehabilitation Centers Ltd
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 48
Registry record
- Primary taxonomy
- 363AS0400X
363AS0400X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-03-20
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