Individual
JEREMY DAVID KLEJKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
911 LIGONIER ST STE 001, LATROBE, PA 15650-1843
(724) 537-9577
(724) 537-0195
Mailing address
221 METEOR ROAD, MOUNT PLEASANT, PA 15666
(724) 423-8811
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE005209L
PA
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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