Provider Demographics
NPI:1609430636
Name:SLADICH, ADRIANA (ATS)
Entity Type:Individual
Prefix:
First Name:ADRIANA
Middle Name:
Last Name:SLADICH
Suffix:
Gender:F
Credentials:ATS
Other - Prefix:
Other - First Name:AUDREY
Other - Middle Name:
Other - Last Name:SLADICH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:120 N ALLEGHENY ST APT 1
Mailing Address - Street 2:
Mailing Address - City:BELLEFONTE
Mailing Address - State:PA
Mailing Address - Zip Code:16823-1644
Mailing Address - Country:US
Mailing Address - Phone:973-634-5338
Mailing Address - Fax:
Practice Address - Street 1:201 CURTAIN RD
Practice Address - Street 2:
Practice Address - City:UNIVERSITY PARKS
Practice Address - State:PA
Practice Address - Zip Code:16802
Practice Address - Country:US
Practice Address - Phone:814-865-4700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-25
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer