Individual
JAMIE DICARLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
44555 JOY RD, CANTON, MI 48187-1771
(734) 451-9878
Mailing address
855 SPRINGDALE DR STE 200, EXTON, PA 19341-2852
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502004432
MI
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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