Individual
JENNIFER L LIVINGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
630 S 14TH ST, MONESSEN, PA 15062-1406
(724) 684-7445
Mailing address
630 S 14TH ST, MONESSEN, PA 15062-1406
(724) 684-7445
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003137
PA
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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