Individual
JILL ANN VAN DUSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
93 W PENNSYLVANIA AVE, YOE, PA 17313-1111
(717) 246-3246
Mailing address
93 W PENNSYLVANIA AVE, YOE, PA 17313-1111
(443) 655-5854
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MGS002959
PA
Other
Enumeration date
01/21/2013
Last updated
10/22/2020
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