Alisa Cornell is a Specialist based in Bradford, PA. Alisa Cornell practices in Coudersport, PA. The NPI Number for Alisa Cornell is 1144670720 and holds a License No. RT005779 (Pennsylvania).
The current practice location address for Alisa Cornell is 1001 E 2Nd St, Coudersport, PA and can be reached out via phone at 814-274-9300.
Location: 1001 E 2Nd St, Coudersport, PA, 16701-1259
Provider Profile Details
NPI Number
1144670720
Provider Name
Alisa Cornell
Credential
Provider Entity Type
Individual
Gender
Female
Address
1001 E 2Nd St, Coudersport, PA, 16701-1259
Phone Number
814-274-9300
Fax Number
Provider Enumeration Date
06/15/2016
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
1001 E 2Nd St
City
State
Zip
16915-8161
Phone Number
814-274-9300
Fax Number
Provider Business Mailing Address Details
Address
1001 E 2Nd St
City
State
Zip
16915-8161
Phone Number
814-274-9300
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
RT005779 (Pennsylvania)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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