Individual
JENNY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2010 W CHESTER PIKE STE 448, HAVERTOWN, PA 19083-2741
(484) 719-5219
Mailing address
2010 W CHESTER PIKE STE 448, HAVERTOWN, PA 19083-2741
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AK001257
PA
172M00000X
Mechanotherapist
MSG008544
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1035577870001
—
PA
Enumeration date
12/06/2013
Last updated
02/25/2020
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