Individual
MRS. JAMIE A VALLONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.T.
Contact information
Practice address
67 HIGBEE AVE, SPECTRUM REHABILITATION, LLC, SOMERS POINT, NJ 08244-2323
(609) 204-4849
(609) 653-1258
Mailing address
6 CONOR CT, BAYVILLE, NJ 08721-2550
(609) 709-2581
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
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