Provider Demographics
NPI:1912023615
Name:KRAMER, JEAN M (PTA)
Entity Type:Individual
Prefix:MS
First Name:JEAN
Middle Name:M
Last Name:KRAMER
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 BOSC CT.
Mailing Address - Street 2:
Mailing Address - City:TELFORD
Mailing Address - State:PA
Mailing Address - Zip Code:18969
Mailing Address - Country:US
Mailing Address - Phone:215-353-0683
Mailing Address - Fax:
Practice Address - Street 1:153 BOSC CT
Practice Address - Street 2:
Practice Address - City:TELFORD
Practice Address - State:PA
Practice Address - Zip Code:18969-2178
Practice Address - Country:US
Practice Address - Phone:215-353-0683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATE002617L302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization