Individual
SAMUEL JAMES REAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
STUDENT
Contact information
Practice address
215 SHELHAMER CIRCLE, EDINBORO, PA 16412-2388
(814) 450-5957
Mailing address
215 SHELHAMER CIRCLE, EDINBORO, PA 16412-2388
(814) 450-5957
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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