JONATHAN EDWARD DICANDILO

POTTSTOWN, PA
NPI1710264163
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA  rt002231a)
Enumeration Date2011-11-14
Last Update Date2011-11-14
Business Address
-- JONATHAN EDWARD DICANDILO ATC, CSCS
324 HIGHLAND RD
POTTSTOWN, PA 19464-4408
Phone number: 610-705-0630
Mailing Address
-- JONATHAN EDWARD DICANDILO ATC, CSCS
324 HIGHLAND RD
POTTSTOWN, PA 19464-4408
Phone number: