Individual
JACOB THOMAS BENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
46 CAMPUS DRIVE, LOCK HAVEN, PA 17745-1774
(570) 484-2027
Mailing address
300 FOUNDATION DR # 133, LOCK HAVEN, PA 17745-1462
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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