Individual
MRS. JACQUELINE LOUISE LAMONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
18 BROAD ST., JOHNSON CITY, NY 13790-2198
(607) 798-7117
(607) 798-0074
Mailing address
18 BROAD. ST - HCA, JOHNSON CITY, NY 13790-2198
(607) 798-7117
(607) 798-0074
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
X007360-1
NY
Other
Enumeration date
01/26/2010
Last updated
07/15/2021
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