Individual
MRS. KRISTIN FUNK MAGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
400 E 2ND ST, 161 NELSON FIELDHOUSE, BLOOMSBURG, PA 17815-1301
(570) 389-4668
(570) 389-5006
Mailing address
400 E 2ND ST, 161 NELSON FIELDHOUSE, BLOOMSBURG, PA 17815-1301
(570) 389-4668
(570) 389-5006
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003427
PA
Other
Enumeration date
12/12/2014
Last updated
12/12/2014
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