Individual
MS. CHARLENE R. SHANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 HIGH ST, MANCHESTER, PA 17345-1508
(717) 266-3644
(717) 266-0616
Mailing address
2505 BREMER RD, DOVER, PA 17315-2051
(717) 292-5932
(717) 266-0616
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT001469A
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2255A2300X
ATHLETIC TRAINER
PA
Enumeration date
04/16/2007
Last updated
07/08/2007
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