Individual
PAUL THOMAS SWEENEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 466-4109
Mailing address
109 N THOMAS AVE, APT. 3, KINGSTON, PA 18704-5533
(570) 466-4109
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004245
PA
Other
Enumeration date
02/01/2010
Last updated
02/01/2010
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