Individual
MRS. JAMIE A VALLONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01055500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124034004
NATIONAL PROVIDER IDENTIFIER NUMBER
NJ
01
—
40QA01055500
BOARD OF PHYSICAL THERAPY LICENSE NUMBER
NJ
Enumeration date
07/31/2006
Last updated
09/26/2012
Update your record
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