Individual
STEPHANIE OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
211 WEST 8TH STREET, ERIE, PA 16501
(814) 730-3404
Mailing address
211 W 8TH ST, ERIE, PA 16501-1603
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
PA
Other
Enumeration date
06/15/2017
Last updated
06/15/2017
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