Collier Valencic, ATC
Specialist/Technologist, Athletic Trainer in Hermitage, PA. Individual provider (NPI-1).
NPI number1568893402
StatusActive
Last updated in NPPESDec 9, 2016
Details
- NPI
- 1568893402
- Entity type
- Individual (NPI-1)
- Name
- Mr. Collier Valencic
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 3, 2013
- Last updated
- Dec 9, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | RT004790 | PA | Yes |
Practice location
2360 Highland RdHermitage, PA 16148-2819
Phone 724-866-1328
Mailing address
2360 Highland RdHermitage, PA 16148-2819
Phone 724-866-1328
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