Individual
JACOB ANDREW MAUERSBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT-BC
Contact information
Practice address
1433 POPLAR ST, PHILADELPHIA, PA 19130-1669
(301) 848-3962
Mailing address
1433 POPLAR ST, PHILADELPHIA, PA 19130-1669
(301) 848-3962
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
14675
PA
Other
Enumeration date
10/28/2018
Last updated
10/26/2024
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