Individual
DR. KELLY D PAGNOTTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, ATC, PES
Contact information
Practice address
1 NEUMANN DR, ASTON, PA 19014-1277
(610) 358-4551
Mailing address
1 NEUMANN DR, ASTON, PA 19014-1277
(610) 358-4551
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000520
CT
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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