Individual
SHAUNA MCKENNA SICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1120 OAK ST, PITTSTON, PA 18640-3770
(610) 861-8080
Mailing address
1120 OAK ST, PITTSTON, PA 18640-3770
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/08/2011
Last updated
02/05/2015
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