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Stephanie Black, ATC
Specialist in Coudersport, Pennsylvania
NPI 1609226281

Stephanie Black is a Specialist based in Coudersport, PA. Stephanie Black practices in Coudersport, PA and has the professional credentials of ATC. The NPI Number for Stephanie Black is 1609226281 and holds a License No. RT005263 (Pennsylvania).

The current practice location address for Stephanie Black 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, 16915-8161
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609226281
Provider Name
Stephanie Black
Credential
ATC
Provider Entity Type
Individual
Gender
Female
Address
1001 E 2Nd St, Coudersport, PA, 16915-8161
Phone Number
814-274-9300
Fax Number
Provider Enumeration Date
06/15/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1001 E 2Nd St
City
Coudersport
State
Pennsylvania
Zip
16915-8161
Phone Number
814-274-9300
Fax Number
person
Provider Business Mailing Address Details
Address
1001 E 2Nd St
City
Coudersport
State
Pennsylvania
Zip
16915-8161
Phone Number
814-274-9300
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
RT005263 (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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