Individual
OLIVIA PANNABECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
41 PENNY LN, BERNVILLE, PA 19506-9538
(610) 463-5637
Mailing address
41 PENNY LN, BERNVILLE, PA 19506-9538
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT006311
PA
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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