Individual
MR. DYLAN JOHN GOODSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., L.A.T., A.T.C.
Contact information
Practice address
4800 SUSQUEHANNA TRL, TURBOTVILLE, PA 17772-8679
(570) 560-3539
Mailing address
4800 SUSQUEHANNA TRL, TURBOTVILLE, PA 17772-8679
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT006215
PA
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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