Individual
CHRISTIAN MICHAEL ORMISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
206 6TH ST, WEATHERLY, PA 18255-1603
(570) 751-4212
Mailing address
206 6TH ST, WEATHERLY, PA 18255-1603
(570) 751-4212
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT006255
PA
Other
Enumeration date
04/17/2020
Last updated
04/17/2020
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