JENNIFER LEE JOHANNES

STATE COLLEGE, PA
NPI1538246053
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA  RT004010)
Enumeration Date2006-11-01
Last Update Date2007-07-08
Business Address
-- JENNIFER LEE JOHANNES ATC
101 REGENT CT
STATE COLLEGE, PA 16801-7965
Phone number: 800-505-2101
Mailing Address
-- JENNIFER LEE JOHANNES ATC
PO BOX 157 185 BEACH STREET
BLANCHARD, PA 16826-0157
Phone number: 570-962-3440