Individual
MIA ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2005 KENTUCKY LN, ROCHESTER, PA 15074-1016
(724) 601-8604
Mailing address
2005 KENTUCKY LN, ROCHESTER, PA 15074-1016
(724) 601-8604
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
PA
Other
Enumeration date
03/07/2023
Last updated
06/04/2024
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