Alexander John Poniktera, ATC, EMT-B
NPI #1821569245 in Upper Black Eddy, Pennsylvania
Provider Information
- NPI Number
- 1821569245
- Entity Type
- Individual
- Name
- Alexander John Poniktera, ATC, EMT-B
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC, EMT-B
- Enumeration Date
- Dec 11, 2018
- Last Updated
- Dec 11, 2018
Practice Location
- Address
- 1705 NARROWS HILL RD
- City
- Upper Black Eddy
- State
- Pennsylvania
- ZIP Code
- 18972-9712
- Phone
- (610) 603-6126
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
| Emergency Medical Technician, Basic |
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