Individual
MR. SHAUN BRIAN TRUMBOWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
128 BROADWAY RD, SWEET VALLEY, PA 18656-2326
(570) 256-4487
Mailing address
128 BROADWAY RD, SWEET VALLEY, PA 18656-2326
(570) 256-4487
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE1000361
PA
Other
Enumeration date
09/23/2009
Last updated
09/23/2009
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