Individual
MATTHEW PASQUALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 E JEFFERSON ST, OLYPHANT, PA 18447-2176
(570) 499-5663
Mailing address
400 E JEFFERSON ST, OLYPHANT, PA 18447-2176
(570) 499-5663
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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