Individual
MISS SHELBY BENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
1632 33RD ST SW, APT B, ALLENTOWN, PA 18103-6933
(610) 297-2773
Mailing address
1632 33RD ST SW, APT B, ALLENTOWN, PA 18103-6933
(610) 297-2773
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT005743
PA
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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