Individual
MR. PETER MICHAEL HOUDEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC, CES
Contact information
Practice address
205 W ALLEGHENY RD, IMPERIAL, PA 15126-9770
(215) 380-2208
Mailing address
208 JACOBS CT, CRANBERRY TWP, PA 16066-3376
(215) 380-2208
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004946
PA
Other
Enumeration date
01/13/2016
Last updated
09/16/2020
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