Robert S Stasak
NPI #1497838908 in Wind Gap, Pennsylvania
Provider Information
- NPI Number
- 1497838908
- Entity Type
- Individual
- Name
- Robert S Stasak
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Oct 21, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 225 OAK ST
- City
- Wind Gap
- State
- Pennsylvania
- ZIP Code
- 18091-1638
- Phone
- (610) 863-4604
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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