Individual
GWENDOLYN IRENE ELSASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, LAT, ATC
Contact information
Practice address
3200 S WATER ST, PITTSBURGH, PA 15203-2307
(855) 937-7678
Mailing address
1454 TRANCE DR, PITTSBURGH, PA 15234-2757
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
RT006653
PA
363A00000X
Physician Assistant
Primary
MA064280
PA
Other
Enumeration date
06/10/2020
Last updated
02/03/2023
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