Individual
TIFFANY MARIE MALIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
200 PROSPECT ST, EAST STROUDSBURG, PA 18301-2956
(570) 422-3337
Mailing address
4310 KELLY AVE, UPPER CHICHESTER, PA 19061-2612
(610) 329-4755
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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