Individual
JAMIE DEDECKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
265 N MAIN ST, SOUTH YARMOUTH, MA 02664-2083
(508) 394-3514
(508) 394-0759
Mailing address
2 IVY LN, SANDWICH, MA 02563-3125
(508) 394-3514
(508) 394-0759
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
103
MA
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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