Individual
MR. ANTHONY JOSEPH DECARLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., LAT, ATC, CES
Contact information
Practice address
201 FALCON DR, CONNELLSVILLE, PA 15425-5504
(724) 628-1350
(724) 628-0280
Mailing address
711 BAUGHMAN AVE, JEANNETTE, PA 15644-2920
(412) 551-5870
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000030525
PA
2255A2300X
Athletic Trainer
—
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
PA
Other
Enumeration date
09/06/2017
Last updated
01/25/2025
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