Individual
REBECCA KESSLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-4509
(215) 456-3428
Mailing address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-4509
(215) 456-3428
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003084
PA
Other
Enumeration date
10/19/2009
Last updated
10/19/2009
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