Individual
KAITLIN LIORA REGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
109 UNIVERSITY SQ, ERIE, PA 16541-0002
(607) 759-1054
Mailing address
109 UNIVERSITY SQ, ERIE, PA 16541-0002
(607) 759-1054
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT006803
PA
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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