Nicholas Mirabito
Specialist/Technologist, Athletic Trainer in Bath, PA. Individual provider (NPI-1).
NPI number1023536653
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1023536653
- Entity type
- Individual (NPI-1)
- Name
- Nicholas Mirabito
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 4, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
270 E Northampton StBath, PA 18014
Phone 484-894-2142
Mailing address
270 E Northampton StBath, PA 18014
Phone 484-894-2142
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