Individual
SAMANTHA ANN CUTRONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
961 ROUTE 590, LACKAWAXEN, PA 18435-9730
(570) 229-1305
Mailing address
961 ROUTE 590, LACKAWAXEN, PA 18435-9730
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
22
—
01
—
7084651488
ATHLETIC TRAINER
—
Enumeration date
08/01/2017
Last updated
08/01/2017
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