Individual
JEREMY EVAN DAMIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1000 CLAREMONT RD, CARLISLE, PA 17013-7310
(717) 243-2031
Mailing address
515 BARRY CT, MECHANICSBURG, PA 17050-4602
(717) 417-0271
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI005193
PA
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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