Individual
JENNA NICOLE LUSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 FAIRLANE RD, READING, PA 19606-9567
(610) 779-2663
(610) 779-3367
Mailing address
11 FAIRLANE RD, READING, PA 19606-9567
(610) 779-2663
(610) 779-3367
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MSG007692
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MSG007692
LICENSE NUMBER
PA
Enumeration date
05/17/2013
Last updated
05/17/2013
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