Individual
MS. JODY RENEE PREISCHE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
401 N FAIRVIEW ST, LOCK HAVEN, PA 17745-2342
(570) 893-2704
Mailing address
204 S FAIRVIEW ST, LOCK HAVEN, PA 17745-2808
(570) 748-0243
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003269
PA
Other
Enumeration date
04/10/2006
Last updated
07/08/2007
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