JAMIE LYNN BENEDICT

JEROME, ID
NPI1134101223
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ID  PTA-400)
Enumeration Date2005-11-15
Last Update Date2007-07-08
Business Address
-- JAMIE LYNN BENEDICT PTA
128 5TH AVE W
JEROME, ID 83338-1863
Phone number: 208-324-3090
Mailing Address
-- JAMIE LYNN BENEDICT PTA
239 TAYLOR ST W
KIMBERLY, ID 83341-1533
Phone number: 208-423-5633
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