Individual
MRS. KOSIE L SHEPHERD-PORADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
927 MENOHER BLVD, JOHNSTOWN, PA 15905-2834
(814) 255-6814
(814) 255-7963
Mailing address
927 MENOHER BLVD, JOHNSTOWN, PA 15905-2834
(814) 255-6814
(814) 255-7963
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003694
PA
Other
Enumeration date
04/07/2009
Last updated
04/07/2009
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