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Individual

MRS. MELISSA ANNE LOUDENSLAGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
2990 W 4TH ST, WILLIAMSPORT, PA 17701-9134
(570) 323-8411
Mailing address
153 W HILLS DR, WILLIAMSPORT, PA 17701-1336
(570) 220-7762

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT002421A
PA

Other

Enumeration date
03/05/2007
Last updated
07/08/2007
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