Individual
TANNER P DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
1600 ELK AVE, POTTSVILLE, PA 17901-2133
(570) 621-2900
Mailing address
26 TURNPIKE RD, ASHLAND, PA 17921-9030
(570) 985-3062
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT007378
PA
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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