Individual
DANIEL FROST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
11749 STATE ROUTE 106, KINGSLEY, PA 18826-6942
(570) 434-2501
Mailing address
109 TUNNEL HILL RD, FACTORYVILLE, PA 18419-2309
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT005589
PA
Other
Enumeration date
08/22/2017
Last updated
08/22/2017
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