Provider Demographics
NPI:1760757173
Name:ROEMER, JAIME M (DPT)
Entity Type:Individual
Prefix:
First Name:JAIME
Middle Name:M
Last Name:ROEMER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 GREENTREE RD
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-9428
Mailing Address - Country:US
Mailing Address - Phone:856-872-4331
Mailing Address - Fax:856-872-4482
Practice Address - Street 1:170 GREENTREE RD
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-9428
Practice Address - Country:US
Practice Address - Phone:856-872-4331
Practice Address - Fax:856-872-4482
Is Sole Proprietor?:No
Enumeration Date:2012-03-19
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01298200225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist