Individual
JACOB BENDIXEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1900 W OLNEY AVE, PHILADELPHIA, PA 19141-1108
(215) 951-1519
Mailing address
4314 TERRACE ST, PHILADELPHIA, PA 19128-4935
(201) 895-2093
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RTO000290
PA
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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