Individual
MS. DANIELLE STUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
EDINBORO UNIVERSITY OF PA, 455 SCOTLAND RD, EDINBORO, PA 16444-0001
(814) 732-1862
Mailing address
1627 RIDGE AVE, CORAOPOLIS, PA 15108-2123
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004114
PA
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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