Individual
HEATHER M GONGLOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1984 US 22, BLAIRSVILLE, PA 15717-1571
(724) 459-4884
Mailing address
1984 US 22, BLAIRSVILLE, PA 15717
(724) 459-4884
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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