Most Relevant Information
Provider Data
| NPI Number: | 1003273285 |
| Provider Name: | JENNIFER DEKERLEGAND |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT009685L |
Most Important Dates
| Enumeration Date: | 01/20/2016 |
| Last Updated: | 01/20/2016 |
Provider Practice Location
3400 SPRUCE ST
1 WHITE BUILDING
PHILADELPHIA
PA
191044238
Practice Location Phone/Fax
| Phone: | 2156623265 |
| Fax: |
Provider Mailing Location
6 ANVIL CT
CHERRY HILL
NJ
080032231
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |