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
- City
- West Roxbury
- State
- Massachusetts
- ZIP Code
- 02132-1506
- Phone
- (617) 892-2749
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation - Sports Medicine — Sports Medicine |
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