Individual
JEREMI ROBERT RONALDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1200 GRUBB RD, PALMYRA, PA 17078-3514
(717) 838-5406
Mailing address
107 RIDERS WAY, LEBANON, PA 17042-8709
(267) 994-2126
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI005510
PA
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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