Individual
JAMIE LEE MANSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, ATC, LAT
Contact information
Practice address
1800 N BROAD ST, PEARSON HALL 261, DEPT OF KINESIOLOGY, PHILADELPHIA, PA 19121-3302
(215) 204-2153
(215) 204-4414
Mailing address
1800 N BROAD ST, PEARSON HALL 261, DEPT OF KINESIOLOGY, PHILADELPHIA, PA 19121-3302
(215) 204-2153
(215) 204-4414
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003246
PA
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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