Individual
JUSTIN J JASKULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
55 E BRIDGE ST, OSWEGO, NY 13126-2120
(315) 342-6300
Mailing address
242 E 2ND ST, OSWEGO, NY 13126-3105
(315) 529-5229
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27 019904
NY
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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