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Individual

BRIAN JASKOLKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPT

Contact information

Practice address
850 S VALLEY FORGE RD UNIT AF-2D, LANSDALE, PA 19446-4261
(267) 649-7658
(267) 263-2997
Mailing address
119 PROFESSIONAL BUILDING, 1265 WAYNE AVE, SUITE 308, INDIANA, PA 15701-3501
(724) 801-8095
(724) 801-8147

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT015842
PA

Other

Enumeration date
08/08/2017
Last updated
08/08/2017
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