Individual
JESSICA MARIE DEMARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 BELLE TERRE RD, PORT JEFFERSON, NY 11777-1928
(631) 474-6100
Mailing address
200 BELLE TERRE RD, PORT JEFFERSON, NY 11777-1928
(631) 474-6100
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0105731
NY
Other
Enumeration date
01/29/2017
Last updated
01/29/2017
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