Individual
MR. SCOTT CHARLES DELANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
131 FORSYTHIA DR E, LEVITTOWN, PA 19056-1920
(215) 816-8146
Mailing address
131 FORSYTHIA DR E, LEVITTOWN, PA 19056-1920
(215) 816-8146
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004931
PA
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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