Individual
VICTORIA LYNN GILLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT ATC
Contact information
Practice address
1800 MULBERRY ST, SCRANTON, PA 18510-2369
(570) 703-8000
Mailing address
408 ACADEMY ST APT B, PECKVILLE, PA 18452-1602
(570) 903-2028
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RTO000309
PA
Other
Enumeration date
03/13/2019
Last updated
03/13/2019
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