JAMIE SHANNON SOUTAR

NEWARK, DE
NPI1295781243
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: DE  J2-0000488)
Enumeration Date2006-05-25
Last Update Date2007-07-08
Business Address
Mr. JAMIE SHANNON SOUTAR PTA
130 EXECUTIVE DR
NEWARK, DE 19702-3349
Phone number: 302-292-3454
Mailing Address
Mr. JAMIE SHANNON SOUTAR PTA
203 TINSLEY CT
NEWARK, DE 19702-2819
Phone number: 302-266-7122