Individual
SHAREA LYNN COTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23 W MARKET ST, MYERSTOWN, PA 17067-1938
(866) 632-0793
Mailing address
23 W MARKET ST, MYERSTOWN, PA 17067-1938
(866) 632-0793
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
25341705
PA
Other
Enumeration date
08/10/2023
Last updated
08/16/2023
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