Individual
JAMIE MAE CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
153 EAST STREET, PHILADELPHIA, PA 19127
(732) 216-8967
Mailing address
153 EAST ST, PHILADELPHIA, PA 19127-1805
(732) 216-8967
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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