Individual
MS. MELISSA MARIE STAVINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
133 N RIVER ST, WILKES BARRE, PA 18711-0800
(570) 208-5900
(570) 208-6016
Mailing address
115 S MEADE ST, WILKES BARRE, PA 18702-6331
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003326
PA
Other
Enumeration date
10/18/2006
Last updated
07/09/2007
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