Individual
JENAE DANIELLE MUMMERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
55 S 2ND ST, CHAMBERSBURG, PA 17201-2207
(717) 264-6815
Mailing address
4570 EDENVILLE RD, CHAMBERSBURG, PA 17202-9412
(717) 360-1542
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE1002253
PA
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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