MRS. Jennifer Derecola, LMT

NPI #1821388042 in Fleetwood, Pennsylvania

Provider Information

NPI Number: 1821388042
Entity Type: Individual
Name: MRS. Jennifer Derecola, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Apr 8, 2011
Last Updated: Apr 8, 2011

Practice Location

Address: 14128 KUTZTOWN RD.
City: Fleetwood
State: Pennsylvania
ZIP Code: 19522
Phone: (610) 944-9647

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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