Individual
SHANE PATRICK CITRENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12 LOVALEE LN, THORNTON, PA 19373-1053
(610) 357-9116
Mailing address
12 LOVALEE LN, THORNTON, PA 19373-1053
(610) 357-9116
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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