Individual
JESSICA M CANCEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., ATC
Contact information
Practice address
700 LAWN AVE, GRAND VIEW SPORTS MEDICINE CENTER, SELLERSVILLE, PA 18960-1548
(215) 257-8668
Mailing address
639 W TILGHMAN ST, ALLENTOWN, PA 18102-1675
(610) 820-9188
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003973
PA
Other
Enumeration date
04/07/2007
Last updated
07/08/2007
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