Individual
AUTUMN PISANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4200 5TH AVE, PITTSBURGH, PA 15260-0001
(412) 624-4141
Mailing address
199 STEPHENSON ST, MONACA, PA 15061-2775
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/02/2021
Last updated
09/03/2021
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