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Individual

JULIE B JASONTEK

Active
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Individual

JULIE B JASONTEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
PT002813
KY
2251X0800X
Orthopedic Physical Therapist
Primary
PT06454
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2526332
—
OH
05
—
8700155800
—
KY
Enumeration date
06/14/2005
Last updated
12/18/2013
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