Individual
MS. JESSICA ANNE EBERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
329 MULLET RUN, MILFORD, DE 19963-5373
(302) 424-1810
(302) 424-3092
Mailing address
329 MULLET RUN, MILFORD, DE 19963-5373
(302) 424-1810
(302) 424-3092
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
J3-0000271
DE
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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