Individual
MR. JAMIE TODD SCALISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
250 CETRONIA RD, ALLENTOWN, PA 18104-9147
(610) 973-6200
Mailing address
889 SWALLOW TAIL LN, BREINIGSVILLE, PA 18031-1789
(610) 417-1051
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT002060A
PA
Other
Enumeration date
06/14/2013
Last updated
06/14/2013
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