Individual
MRS. STEPHANY NAMISNAK LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3200 S WATER ST, PITTSBURGH, PA 15203-2307
(412) 432-3770
(412) 432-3774
Mailing address
2331 ROSE DR, GLENSHAW, PA 15116-2517
(412) 487-9084
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003705
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RT003705
PA STATE LICENSE
PA
Enumeration date
02/14/2007
Last updated
07/08/2007
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