JEROME JAMES DERISO

LIGONIER, PA
NPI1689728867
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: PA  PT008042L)
Enumeration Date2007-01-23
Last Update Date2007-07-08
Business Address
-- JEROME JAMES DERISO MPT
1865 ROUTE 30
LIGONIER, PA 15658-8515
Phone number: 724-238-9185
Mailing Address
-- JEROME JAMES DERISO MPT
1865 ROUTE 30
LIGONIER, PA 15658-8515
Phone number:
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