Individual
TIFFANY KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1441 SCHOENERSVILLE RD, BETHLEHEM, PA 18018-1864
(484) 526-6784
Mailing address
1441 SCHOENERSVILLE RD, BETHLEHEM, PA 18018-1864
(484) 526-6784
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT006442
PA
Other
Enumeration date
08/22/2016
Last updated
08/22/2016
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