Individual
SHELBY LYNN PHILIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
122 NIDER RD, GARRETT, PA 15542-8913
(814) 634-9377
Mailing address
122 NIDER RD, GARRETT, PA 15542-8913
(814) 634-9377
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/12/2014
Last updated
05/12/2014
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