SHAWN EDWARD ROSTUCHER

PHILADELPHIA, PA
NPI1588435648
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA  32972995)
Enumeration Date2024-01-09
Last Update Date2024-01-09
Business Address
SHAWN EDWARD ROSTUCHER
3429 SALMON ST
PHILADELPHIA, PA 19134-6014
Phone number: 267-606-8886
Mailing Address
SHAWN EDWARD ROSTUCHER
3429 SALMON ST
PHILADELPHIA, PA 19134-6014
Phone number: 267-606-8886