Individual
MS. JENNIFER HAGOPIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3401 N BROAD ST, ORTHOPEDICS-6TH FLOOR OUTPATIENT BUILDING, PHILADELPHIA, PA 19140-5103
(215) 707-1903
(215) 707-9454
Mailing address
143 PLYMOUTH AVE, ORELAND, PA 19075-1703
(215) 885-5053
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT1001024A
PA
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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