Individual
JEFFREY ROBERT MCDERMOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2250 HICKORY RD, STE 240, PLYMOUTH MEETING, PA 19462-1047
(800) 879-4471
Mailing address
4821 SHIMERVILLE RD, EMMAUS, PA 18049-4953
(610) 965-9318
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
TE002938L
PA
Other
Enumeration date
04/05/2007
Last updated
07/08/2007
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