Individual
JAMIE L MISSIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
485 ROUTE 134, SOUTH DENNIS, MA 02660-3431
(508) 394-0941
Mailing address
4714 GETTYSBURG RD, MECHANICSBURG, PA 17055-4325
(888) 238-9408
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18588
MA
2251X0800X
Orthopedic Physical Therapist
22510000X
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225100000X
—
MA
Enumeration date
03/12/2009
Last updated
05/13/2020
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