Individual
ADISA BOMANI BRANCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7421 LIGHTHOUSE POINT, PITTSBURGH, PA 15221
(412) 552-0037
Mailing address
7421 LIGHTHOUSE POINT, PITTSBURGH, PA 15221
(412) 552-0037
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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