Individual
SANDRA FOWKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
855 S NEW STREET ROOM 214, WEST CHESTER, PA 19383-0001
(610) 436-2342
Mailing address
855 S NEW STREET ROOM 214, WEST CHESTER, PA 19383-0001
(610) 436-2342
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT000948A
PA
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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