Jessica Lee Shudak, PT

NPI #1609996842 in Pittston, Pennsylvania

Provider Information

NPI Number: 1609996842
Entity Type: Individual
Name: Jessica Lee Shudak, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Mar 30, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 38 N MAIN ST
City: Pittston
State: Pennsylvania
ZIP Code: 18640-1916
Phone: (570) 654-0220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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