Individual
JENNIFER C EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
Mailing address
321 W SPRUCE ST, PERKASIE, PA 18944-1823
(267) 222-2584
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG011759
PA
225700000X
Massage Therapist
—
—
Other
Enumeration date
10/27/2021
Last updated
10/29/2021
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