Individual
STEPHANIE ANN THERESA HAEFELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
170 N POINTE BLVD, LANCASTER, PA 17601-4132
(717) 299-4871
Mailing address
516 SHADETREE BLVD, MARIETTA, PA 17547-8554
(570) 851-8888
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT007380
PA
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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