Individual
SHAN BARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
705 HOOD BLVD, FAIRLESS HILLS, PA 19030-3115
(215) 949-6700
Mailing address
333 MAPLE AVE, GLENSIDE, PA 19038-2223
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT001729A
PA
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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