Individual provider · Type 1 NPI
Stephanie Black, ATC
Specialist · Coudersport, PA
NPI number
1609226281
Active
Practice location
1001 E 2nd St
Coudersport, PA 16915-8161
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | RT005263 (PA) |
Specialist: 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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About NPI 1609226281
Stephanie Black, ATC's National Provider Identifier is 1609226281, issued on Jun 15, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Coudersport, PA. The record was last updated on Jun 15, 2016.