MEDICARE: MR. NICK JAROMAHUM BSPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251X0800X	Orthopedic Physical Therapist	40QA0826300	NJ
2	225100000X	Physical Therapist	7000660	TX

General Provider Information

NPI Number	:	1043382013
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. NICK JAROMAHUM BSPT

Provider Business Mailing Address
First Line	:	9802 CAPE BREEZE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-3883
Country	:	US
Telephone Number	:	862-222-4528
Fax Number	:

Provider Business Practice Location Address
First Line	:	9802 CAPE BREEZE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-3883
Country	:	US
Telephone Number	:	862-222-4528
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	01/03/2024

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Directions to “ MR. NICK JAROMAHUM BSPT” Practice Location

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