Individual
FREDERICK LOCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
310 BERRY ST, WEST PITTSTON, PA 18643-2224
(570) 561-8324
Mailing address
310 BERRY ST, WEST PITTSTON, PA 18643-2224
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003994
PA
Other
Enumeration date
11/07/2017
Last updated
11/07/2017
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