Individual
THEODORE ROBERT MOSTELLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 PROSPECT ST, EAST STROUDSBURG, PA 18301-2956
(570) 422-3211
Mailing address
202 PARK AVE, STROUDSBURG, PA 18360-1523
(570) 872-7224
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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