Individual
JACKLYN YEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T., P.T.
Contact information
Practice address
1906 WOODHOLLOW DR, MARLTON, NJ 08053-1051
(732) 672-9054
Mailing address
1906 WOODHOLLOW DR, MARLTON, NJ 08053-1051
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT022257
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
302213QHH
MEDICARE GROUP MEMBER PTAN
PA
Enumeration date
09/06/2012
Last updated
03/04/2023
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