MR. Jesse Lee Dimick, PTA, LATC

NPI #1386680809 in West Roxbury, Massachusetts

Provider Information

NPI Number
1386680809
Entity Type
Individual
Name
MR. Jesse Lee Dimick, PTA, LATC
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Physical Medicine & Rehabilitation - Sports Medicine
Credential
PTA, LATC
Enumeration Date
Jun 22, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
43 REDLANDS RD
ZIP Code
02132-1506
Phone
(617) 892-2749

Specialties & Taxonomy Codes

Specialty
Physical Medicine & Rehabilitation - Sports MedicineSports Medicine

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