Individual
MR. SCOTT RODNEY GALLUP JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
200 PROSPECT ST, EAST STROUDSBURG, PA 18301-2956
(570) 422-3211
Mailing address
PO BOX 333, DELAWARE WATER GAP, PA 18327-0333
(570) 852-3535
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT006678
PA
Other
Enumeration date
05/23/2017
Last updated
05/23/2017
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