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Contact Information

EDWARD A JENDRISAK, PT
4054 FORESTRIDGE DR
RICHFIELD, OH44286-9576
 Phone: 330-659-0769
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for EDWARD A JENDRISAK · (Male)

NPI Number 1114931292
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 07/27/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # PT05915
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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