Individual
MRS. JENNIFER LEIGH YURCIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
232 SUNRISE AVE, HONESDALE, PA 18431-1085
(570) 251-8003
(570) 251-8005
Mailing address
232 SUNRISE AVE, HONESDALE, PA 18431-1085
(570) 251-8003
(570) 251-8005
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
TEI000396
PA
Other
Enumeration date
08/16/2010
Last updated
08/16/2010
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