Individual
MRS. JENNIFER DERECOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
14128 KUTZTOWN RD., FLEETWOOD, PA 19522
(610) 944-9647
Mailing address
6 HEARTHSTONE CT., 200, READING, PA 19606
(610) 685-1761
(610) 779-3392
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/08/2011
Last updated
04/08/2011
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