Individual
JAMIE J IANNACO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
429 WHITE HORSE PIKE, ATCO, NJ 08004-2227
(856) 753-1111
(856) 753-1454
Mailing address
572 PESTLETON RD, WATERFORD WORKS, NJ 08089-2120
(856) 767-6587
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01296100
NJ
Other
Enumeration date
05/16/2011
Last updated
07/23/2016
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