Individual
MS. STACIELYNN SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3200 S WATER ST, PITTSBURGH, PA 15203-2307
(412) 432-3700
Mailing address
203 MARY AVE, PITTSBURGH, PA 15209-1449
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE005183L
PA
Other
Enumeration date
04/14/2006
Last updated
04/26/2021
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