Individual
SHEALI HANNIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1671 ROUTE 209, BRODHEADSVILLE, PA 18322-7773
(570) 402-1000
Mailing address
105 W MARTIN ST, ALLENTOWN, PA 18103-5831
(908) 451-3781
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00238200
NJ
Other
Enumeration date
04/10/2020
Last updated
04/10/2020
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