Individual
SUSAN ELIZABETH TATALEBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., A.T.C.
Contact information
Practice address
2401 DARLINGTON RD, BEAVER FALLS, PA 15010-1324
(724) 843-7255
(724) 843-2254
Mailing address
153 MOWRY RD, MONACA, PA 15061-2223
(724) 622-8849
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003245
PA
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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