Jamie Dedecko in Sandwich - Physical Therapy Assistant

Jamie Dedecko - NPI 1669596169

Jamie Dedecko is a Physical Therapy Assistant in Sandwich, Massachusetts. Jamie Dedecko practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Jamie Dedecko is 1669596169. The last update date is 2007-07-08.

Jamie Dedecko's current location address is 2 Ivy Ln, Sandwich, Massachusetts. You can contact this provider via phone number 5083943514 and fax number 5083940759. The mailing address for Jamie Dedecko is 2 Ivy Ln, Sandwich, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Jamie Dedecko
Address 2 Ivy Ln, Sandwich, Massachusetts
Phone Number 5083943514
Fax Number 5083940759
Sole Proprietor Y
Credentials PTA

NPI Number Detail

NPI Number 1669596169
Provider Enumeration Date 2007-03-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2 Ivy Ln
City Sandwich
State Massachusetts (MA)
Post Code 25633125
Phone Number 5083943514
Fax Number 5083940759

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No 103
Definition:
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post

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FAQs about Jamie Dedecko

What is the unique identification code assigned to Jamie Dedecko by the Centers for Medicare & Medicaid Services?

The Jamie Dedecko has been issued the NPI (National Provider Identifier) 1669596169. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Jamie Dedecko is geographically located?

The Jamie Dedecko is physically situated at the following location: 2 Ivy Ln, Sandwich, MA, 25633125.

What is Jamie Dedecko's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jamie Dedecko's area of specialization is Physical Therapy Assistant, and the corresponding taxonomy code that categorizes this field of practice is 225200000X.

When was the Jamie Dedecko's 1669596169 issued?

The Jamie Dedecko's 1669596169 was issued on 2007-03-19.

As of what date was the information regarding Jamie Dedecko, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jamie Dedecko, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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