Individual
LAURA IVY CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
16 WOODBINE LN, DANVILLE, PA 17821-8029
(570) 271-6700
Mailing address
290 NURSERY RD, BERWICK, PA 18603-5128
(570) 394-8907
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RTO000383
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
RESPIRATORY, REHABILITATIVE & RESTORATIVE SERVICE
PA
Enumeration date
05/31/2018
Last updated
05/31/2018
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