Individual
SHELLY DICESARO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
608 GLOWOOD DR, PITTSBURGH, PA 15227-1216
(412) 882-4757
Mailing address
608 GLOWOOD DR, PITTSBURGH, PA 15227-1216
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/06/2006
Last updated
07/08/2007
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