Individual
MRS. CANDICE JOY DIPASQUALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4201 GLADES PIKE, SOMERSET, PA 15501-1144
(814) 445-7727
(814) 445-7012
Mailing address
1400 EAST MUDPIKE RD., BERLIN, PA 15530
(814) 233-0601
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003238
PA
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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