Individual
JORDAN MARIE CARVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
353 JEFF AVE, EPHRATA, PA 17522-2452
(717) 598-3281
Mailing address
353 JEFF AVE, EPHRATA, PA 17522-2452
(717) 598-3281
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT007634
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
0
—
Enumeration date
01/20/2022
Last updated
01/20/2022
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