Individual
MRS. LAURA ELLEN REGENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
700 NEW SCHOOL LN, DALLASTOWN, PA 17313-9242
(717) 244-4021
(717) 244-8813
Mailing address
1135 IRVING AVE., YORK, PA 17403
(717) 848-2227
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003592
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
22
PA
Enumeration date
11/21/2006
Last updated
07/08/2007
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