Individual
MARISSA MONDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1469 CHAUMONT AVE, STATE COLLEGE, PA 16801-6998
(913) 777-1482
Mailing address
1469 CHAUMONT AVE, STATE COLLEGE, PA 16801-6998
(913) 777-1482
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/04/2023
Last updated
05/23/2025
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