Individual
JENNIE L PETRONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOM/DIPL.OM, LAT/ATC
Contact information
Practice address
113 N TURNPIKE RD, DALTON, PA 18414-9134
(570) 357-1244
Mailing address
PO BOX 643, CLARKS SUMMIT, PA 18411-0643
(570) 357-1244
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
OM000191
PA
2255A2300X
Athletic Trainer
001040-1
NY
2255A2300X
Athletic Trainer
RT005584
PA
Other
Enumeration date
06/26/2006
Last updated
01/30/2016
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