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Individual
MRS. JAMIE NICOLE ROMANCIK
Active
Individual
MRS. JAMIE NICOLE ROMANCIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT023589
PA
2255A2300X
Athletic Trainer
RT005010
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029502730009
—
PA
01
—
12704342
CAQH
PA
01
—
PENDING
PA PROMISE
PA
Enumeration date
06/10/2014
Last updated
04/08/2024
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