Tracey E. Jablonski PTA

NPI 1033342514 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1033342514
Gender Female
Enumeration Date 08/31/2009
Last Updated 08/31/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
650 N JEFFERSON ST
ROANOKE VA, 24016-1427, US
Phone (540) 343-3484
Fax
Business Location
2139 BROADWAY AVE SW
ROANOKE VA, 24014-1719, US
Phone (702) 277-2174
Fax
Toxanomy
Taxonomy Code 225200000X
License State Virginia
License Number 2306602375
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According to our database, Mrs. Tracey E. Jablonski PTA NPI is 1033342514, taxonomy code is 225200000X and license number is 2306602375, license state is located at Virginia. Tracey E. Jablonski PTA physically located at 650 N Jefferson St, Roanoke VA, 24016-1427. NPI Number Tracey E. Jablonski PTA has the Individual type.

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1033342514 NPI number is provided on an as is basis without warranty of any kind. 1033342514 is maintained by the National Plan & Provider Enumeration System. The contents of Tracey E. Jablonski PTA are for informational purposes only.