Provider Demographics
NPI:1427413715
Name:SKAMAI, JUSTINA
Entity Type:Individual
Prefix:
First Name:JUSTINA
Middle Name:
Last Name:SKAMAI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21709 ROUTE 954 HWY N
Mailing Address - Street 2:
Mailing Address - City:SMICKSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16256-2429
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:21709 ROUTE 954 HWY N
Practice Address - Street 2:
Practice Address - City:SMICKSBURG
Practice Address - State:PA
Practice Address - Zip Code:16256-2429
Practice Address - Country:US
Practice Address - Phone:724-525-2935
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-31
Last Update Date:2015-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART0060262255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer