Individual
MS. TRACY L RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1015 PHILADELPHIA AVE, #54, CHAMBERSBURG, PA 17201-1279
(717) 496-1257
Mailing address
116 MINNICH RD, CHAMBERSBURG, PA 17201-7900
(717) 264-4141
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
PA
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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