Individual
MS. RYANNE KATHLEEN SHOTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, ATC
Contact information
Practice address
133 N RIVER ST, WILKES BARRE, PA 18711-0800
(570) 208-5900
Mailing address
8 CLEVELAND ST, PLAINS, PA 18705-3304
(570) 208-5900
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003475
PA
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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