Individual
HANNAH MARY AGNES JASIENSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
16069 US HIGHWAY 6 AND 19 APT 1A, MEADVILLE, PA 16335-9694
(484) 889-2351
Mailing address
16069 US HIGHWAY 6 AND 19 APT 1A, MEADVILLE, PA 16335-9694
(484) 889-2351
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT006056
PA
Other
Enumeration date
02/12/2015
Last updated
09/30/2019
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