Individual
ALLECIA JANE DOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3200 S WATER ST, PITTSBURGH, PA 15203-2307
(814) 657-8221
Mailing address
106 SHADY AVE, CHESWICK, PA 15024-1616
(814) 657-8221
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RTO000542
PA
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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