Individual
MISS JACQUELINE DIANE FIORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4436 BEECH DR, NAZARETH, PA 18064-8691
(610) 509-8125
Mailing address
4436 BEECH DR, NAZARETH, PA 18064-8691
(610) 509-8125
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT018862
PA
Other
Enumeration date
08/25/2008
Last updated
12/12/2016
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