Individual
MISS MARCIE BETH FYOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
840 WOOD ST, CLARION, PA 16214-1240
(814) 393-2006
(814) 393-1735
Mailing address
13 E 8TH AVE, CLARION, PA 16214-1601
(814) 393-2006
(814) 393-1735
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003067
PA
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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