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Individual

MISS COLLEEN AARON SHOTWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, ATC

Contact information

Practice address
200 PROSPECT ST, KOEHLER FIELDHOUSE, EAST STROUDSBURG, PA 18301-2956
(570) 422-3165
(570) 422-3665
Mailing address
2 RAILROAD ST, AVOCA, PA 18641-1044
(570) 237-6130
(570) 422-3665

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT002404A
PA

Other

Enumeration date
03/01/2007
Last updated
07/08/2007
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