Individual
CHARITY MARLENE LONGSTRETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
3200 COLLEGE AVENUE, BEAVER FALLS, PA 15010
(724) 847-5008
Mailing address
74 RIVIERA DRIVE, NEW CUMBERLAND, WV 26047
(724) 777-0480
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT006396
PA
Other
Enumeration date
09/04/2017
Last updated
09/04/2017
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