Individual
DANIEL DAVID SLOTTERBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
2655 WOODGLEN RD, POTTSVILLE, PA 17901-1335
(570) 622-6648
Mailing address
2964 FAIRGROUNDS ROAD, LAVELLE, PA 17943
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003161
PA
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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