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Organization
JAMIE'S PHYSICAL THERAPY AND SPORTS MEDICINE LLC
Active
Organization
JAMIE'S PHYSICAL THERAPY AND SPORTS MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES G YOUNG MPT (OWNER)
(724) 788-1770
Entity
Organization
Contact information
Practice address
2284 BROADHEAD ROAD, ALIQUIPPA, PA 15001-4685
(724) 788-1770
(724) 788-1994
Mailing address
2284 BROADHEAD ROAD, ALIQUIPPA, PA 15001-4685
(724) 788-1770
(724) 788-1994
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT010361L
PA
2251S0007X
Sports Physical Therapist
PT010361L
PA
Other
Enumeration date
01/28/2011
Last updated
03/08/2011
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