Individual
JEANNE LYNN KOWALSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., A.T., C.
Contact information
Practice address
1000 WYOMING AVE, SCRANTON, PA 18509-2910
(570) 941-7737
(570) 941-6118
Mailing address
1000 WYOMING AVE, SCRANTON, PA 18509-2910
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT000456A
PA
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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