Individual
YENG NATHAN THAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
4128 DELEVAN ST, PITTSBURGH, PA 15217-2602
(612) 237-1489
Mailing address
4128 DELEVAN ST, PITTSBURGH, PA 15217-2602
(612) 237-1489
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/29/2019
Last updated
01/03/2022
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