MS. Laura Mudlock, LAT, ATC, FD
NPI #1144289018 in Exeter, Pennsylvania
Provider Information
- NPI Number
- 1144289018
- Entity Type
- Individual
- Name
- MS. Laura Mudlock, LAT, ATC, FD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- LAT, ATC, FD
- Enumeration Date
- Mar 20, 2006
- Last Updated
- Dec 1, 2014
Practice Location
- Address
- 20 MEMORIAL ST
- City
- Exeter
- State
- Pennsylvania
- ZIP Code
- 18643-2659
- Phone
- (570) 655-2836
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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