Provider Demographics
NPI:1932163128
Name:FIORENZA, JAMIE TERESA (PT)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:TERESA
Last Name:FIORENZA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1270 STILLHOUSE LN
Mailing Address - Street 2:
Mailing Address - City:ETTERS
Mailing Address - State:PA
Mailing Address - Zip Code:17319-9225
Mailing Address - Country:US
Mailing Address - Phone:717-932-5565
Mailing Address - Fax:
Practice Address - Street 1:1270 STILLHOUSE LN
Practice Address - Street 2:
Practice Address - City:ETTERS
Practice Address - State:PA
Practice Address - Zip Code:17319-9225
Practice Address - Country:US
Practice Address - Phone:717-932-5565
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT010934L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist