Individual
SHANNON E FARBACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 UNIVERSITY SQUARE, ERIE, PA 16541-0001
(724) 987-3439
Mailing address
512 LANGDON DR, GIBSONIA, PA 15044-8905
(724) 987-3439
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/08/2018
Last updated
07/08/2018
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