Individual
MS. SHANNON ELYSE SPOONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
522 GRANDVIEW PL, SOUTH WILLIAMSPORT, PA 17702-7728
(570) 322-8241
Mailing address
522 GRANDVIEW PL, SOUTH WILLIAMSPORT, PA 17702-7728
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004105
PA
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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