Stephanie Black, ATC

NPI #1609226281 in Coudersport, Pennsylvania

Provider Information

NPI Number: 1609226281
Entity Type: Individual
Name: Stephanie Black, ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: ATC
Enumeration Date: Jun 15, 2016
Last Updated: Jun 15, 2016

Practice Location

Address: 1001 E 2ND ST
City: Coudersport
State: Pennsylvania
ZIP Code: 16915-8161
Phone: (814) 274-9300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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