Individual
MRS. SHANNON MARIE HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
LINDENWOLD HIGH SCHOOL, 801 EGG HARBOR RD, LINDENWOLD, NJ 08021
(856) 741-0320
(856) 741-0350
Mailing address
2290 ATCO AVE, ATCO, NJ 08004
(215) 840-1983
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00126000
NJ
2255A2300X
Athletic Trainer
RT003151
PA
Other
Enumeration date
05/02/2007
Last updated
12/03/2008
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