Individual
MISS JENNIFER MAE LARGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2829 LITITZ PIKE, LANCASTER, PA 17601-3321
(717) 569-3211
Mailing address
401 LOUISA LN, MECHANICSBURG, PA 17050-7287
(717) 448-3933
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE008968
PA
Other
Enumeration date
07/08/2012
Last updated
07/08/2012
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