Individual
JAMES LEE VANTASSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 FIFTH AVE, MCKEESPORT, PA 15132-2422
(412) 664-2221
Mailing address
1500 FIFTH AVE, MCKEESPORT, PA 15132-2422
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE1001394
PA
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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