Individual
ROBIN MICHELLE MARICHAK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATHLETIC TRAINER
Contact information
Practice address
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711-0027
(570) 820-6086
Mailing address
56 HILLSIDE ST, WILKES BARRE, PA 18702-6406
(570) 826-0922
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
RT002124A
PA
Other
Enumeration date
08/19/2005
Last updated
07/08/2007
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