Individual
JILLIAN MARIE SEAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.T.C.
Contact information
Practice address
200 PROSPECT ST, KOEHLER FIELD HOUSE, EAST STROUDSBURG, PA 18301-2956
(570) 579-8230
Mailing address
1722 EVERGREEN DR, HAZLE TOWNSHIP, PA 18202-9468
(570) 579-8230
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00189500
NJ
Other
Enumeration date
09/03/2013
Last updated
09/03/2013
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