Individual
MS. JESSICA ANN SPOSITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3200 PLEASANT VALLEY BLVD, ALTOONA, PA 16602-4310
(814) 949-5900
Mailing address
1005 E WALTON AVE, APT 211, ALTOONA, PA 16602-7049
(570) 279-8358
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004138
PA
Other
Enumeration date
06/27/2007
Last updated
07/08/2007
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