Individual
ALYSSA RAQUEL VANASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
3200 S WATER ST, PITTSBURGH, PA 15203-2307
(724) 714-1786
Mailing address
339 BEPLER AVE APT 2, PITTSBURGH, PA 15229-2200
(724) 714-1786
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT007301
PA
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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