Individual
JORGE MUNDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
51 PETERS RD, LITITZ, PA 17543-7685
(717) 627-7675
Mailing address
62 BEECH ST, POTTSTOWN, PA 19464-5402
(484) 945-3453
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT008512
PA
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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