Individual
MRS. KELLEY DAWN FAKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
144 OLD ROUTE 8 S, VALENCIA, PA 16059-2024
(724) 898-1158
Mailing address
144 OLD ROUTE 8 S, VALENCIA, PA 16059-2024
(724) 898-1158
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003707
PA
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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