Individual
MS. JESSICA LEE HOENICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
515 SPRUCE ST, DENVER, PA 17517-1435
(717) 327-9200
Mailing address
515 SPRUCE ST, DENVER, PA 17517-1435
(717) 327-9200
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT002199A
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
ATHLETIC TRAINER
PA
Enumeration date
03/05/2007
Last updated
01/03/2012
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