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Individual

MR. JESSE SANTARELLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BS, PTA

Contact information

Practice address
2872 TURNPIKE ST, SUSQUEHANNA, PA 18847-2771
(570) 853-3135
Mailing address
151 BASALYGA ST, JESSUP, PA 18434-1122
(570) 862-6776

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI005180
PA

Other

Enumeration date
07/12/2018
Last updated
07/12/2018
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