Individual
JODI DEBLASSIO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
228 WOOD ST, CALIFORNIA, PA 15419-1049
(724) 938-0310
(724) 938-0312
Mailing address
228 WOOD ST, CALIFORNIA, PA 15419-1049
(724) 938-0310
(724) 938-0312
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT013713L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00015935850005
—
PA
Enumeration date
06/20/2006
Last updated
07/09/2007
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