Individual
AMY WASKE JO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1818 TRIPP AVE, JAMISON, PA 18929-1801
(315) 244-3881
Mailing address
1818 TRIPP AVE, JAMISON, PA 18929-1801
(315) 244-3881
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012205L
PA
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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