Individual
LOREN JANE SHELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
1435 KAYWIN AVE, BETHLEHEM, PA 18018-1732
(610) 428-8066
Mailing address
5676 MOHAWK DR, BETHLEHEM, PA 18017
(610) 428-8066
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004993
PA
Other
Enumeration date
10/10/2011
Last updated
03/25/2020
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