Individual
MR. FREDERICK FRANCIS KUSCAVAGE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
150 WADHAM ST, WYOMING VALLEY WEST HIGH SCHOOL, PLYMOUTH, PA 18651-2111
(570) 820-6086
(570) 826-7878
Mailing address
43 2ND AVE, KINGSTON, PA 18704-5717
(570) 287-5433
(570) 779-9510
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT000157A
PA
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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