Paula Shivock, LAT ATC
NPI #1497124143 in Stroudsburg, Pennsylvania
Provider Information
- NPI Number
- 1497124143
- Entity Type
- Individual
- Name
- Paula Shivock, LAT ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- LAT ATC
- Enumeration Date
- Sep 23, 2015
- Last Updated
- Feb 24, 2022
Practice Location
- Address
- 440 N 5TH ST
- City
- Stroudsburg
- State
- Pennsylvania
- ZIP Code
- 18360-2439
- Phone
- (570) 878-9818
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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