Individual
ANNA COLONNA-DOTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
199 N MAIN ST, WILKES BARRE, PA 18702-4425
(610) 390-7904
Mailing address
199 N MAIN ST, WILKES BARRE, PA 18702-4425
(610) 390-7904
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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