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Individual

MS. SHEENA MONIQUE WOODARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
121 WHITNEY RD, LANCASTER, PA 17603-7021
(717) 380-1570
Mailing address
121 WHITNEY RD, LANCASTER, PA 17603-7021
(717) 380-1570

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22
REHABILITATIVE
PA
Enumeration date
04/25/2007
Last updated
07/08/2007
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