Jamie Lynn Benedict, PTA

NPI #1134101223 in Jerome, Idaho

Provider Information

NPI Number
1134101223
Entity Type
Individual
Name
Jamie Lynn Benedict, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Nov 15, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
128 5TH AVE W
City
Jerome
State
Idaho
ZIP Code
83338-1863
Phone
(208) 324-3090

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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