Provider Demographics
NPI:1821448937
Name:HOSAN, JAMIE RUE (LAT, ATC)
Entity Type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:RUE
Last Name:HOSAN
Suffix:
Gender:F
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:RUE
Other - Last Name:PICKARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAT, ATC
Mailing Address - Street 1:320 GREENHILL RD
Mailing Address - Street 2:APT A
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-3914
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:320 GREENHILL RD
Practice Address - Street 2:APT A
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-3914
Practice Address - Country:US
Practice Address - Phone:908-455-0115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-20
Last Update Date:2016-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART0062602255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer