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Individual

MR. WILLIAM ALLEN STANG JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
A.T.C.

Contact information

Practice address
501 SOUTH MAIN ST, PHYSICAL THERAPY ASSOCIATES NEPA, OLD FORGE, PA 18518
(570) 457-4099
(570) 457-7205
Mailing address
207 LILLIBRIDGE ST, PECKVILLE, PA 18452
(570) 430-9389
(570) 457-7205

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07970269
CERTIFICATION
Enumeration date
07/11/2006
Last updated
07/08/2007
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