Individual
JESSICA LYNNE DITZLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
945 DUKE STREET, LUTHERCARE AT SPANG CREST MANOR, LEBANON, PA 17042
(717) 274-1495
Mailing address
21 DITZLER LANE, JONESTOWN, PA 17038
(717) 865-4334
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE1000159
PA
Other
Enumeration date
07/16/2010
Last updated
07/16/2010
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