Individual
STEPHANIE PETERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
363 RICHLAND AVE APT 274, ATHENS, OH 45701-3281
(610) 639-6566
Mailing address
363 RICHLAND AVE APT 274, ATHENS, OH 45701-3281
(610) 639-6566
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT006172
OH
Other
Enumeration date
04/26/2020
Last updated
07/10/2020
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