Stephanie L Fall, ATC
NPI #1831394741 in Clear Lake, Wisconsin
Provider Information
- NPI Number
- 1831394741
- Entity Type
- Individual
- Name
- Stephanie L Fall, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Jun 19, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 751 4TH ST
- City
- Clear Lake
- State
- Wisconsin
- ZIP Code
- 54005-8505
- Phone
- (715) 418-1102
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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