Individual
MARYROSE A DISCIPIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LMT
Contact information
Practice address
910 MONTGOMERY AVE, PENNSBURG, PA 18073-1614
(267) 313-6139
Mailing address
77 S COMMERCE WAY, BETHLEHEM, PA 18017-8891
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003869
PA
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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