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Individual

STEPHEN THOMAS MCDONNELL JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, LAT, ATC

Contact information

Practice address
9601 GERMANTOWN AVE, PHILADELPHIA, PA 19118-2643
(215) 753-3667
Mailing address
645 LEXINGTON RD, WARMINSTER, PA 18974-5547
(267) 218-2111

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RTO000404
PA

Other

Enumeration date
04/19/2022
Last updated
04/19/2022
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