Individual
TARA L NAGY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
4394 HIGH VIEW DR, NAZARETH, PA 18064-9650
(484) 515-9961
Mailing address
4394 HIGH VIEW DR, NAZARETH, PA 18064-9650
(484) 515-9961
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT005256
PA
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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