Individual
STACY LYNN BEACH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
A.T.C
Contact information
Practice address
506 RT. 36, ROARING SPRING, PA 16673
(814) 224-1371
Mailing address
930 CHESTNUT ST, ROARING SPRING, PA 16673-2012
(814) 224-4634
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003520
PA
Other
Enumeration date
01/11/2006
Last updated
07/08/2007
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