Individual
STACY MARIE CARONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, ATC, LAT, CSCS
Contact information
Practice address
800 E LANCASTER AVE, DAVIS CENTER FIRST FLOOR, VILLANOVA, PA 19085-1603
(610) 519-4557
Mailing address
800 E LANCASTER AVE, DAVIS CENTER FIRST FLOOR, VILLANOVA, PA 19085-1603
(610) 519-4557
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004210
PA
Other
Enumeration date
01/12/2016
Last updated
01/12/2016
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