Amy Waske Jo

Individual provider Active NPI Physical Therapist · Jamison, PA

NPI 1457714461 · NPPES record last updated Mar 29, 2016

Key facts

NPI
1457714461
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT012205L (PA)
Practice address
1818 Tripp Ave
Jamison, PA 18929-1801
Phone
(315) 244-3881
NPI assigned
Mar 29, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PT012205LPAMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT012205L PA Yes

Addresses

Primary practice location

1818 Tripp Ave
Jamison, PA 18929-1801

Mailing address

1818 Tripp Ave
Jamison, PA 18929-1801
Phone (315) 244-3881

Other names

  • Amy Bridget Waske Former name

Other providers in Jamison, PA

All providers in Jamison, PA · Physical Therapist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.