Individual
MELISSA PEARL LONGNECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
115 WOODBINE LN, DANVILLE, PA 17821-9118
(570) 271-5555
Mailing address
717 ASH ST, WATSONTOWN, PA 17777-1104
(814) 573-2585
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004350
PA
Other
Enumeration date
02/03/2010
Last updated
02/03/2010
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