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1619990363
SHANNON M KOSTELAC
CARLISLE, PA
NPI
1619990363
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: PA PT011740L)
Enumeration Date
2006-07-25
Last Update Date
2015-12-15
Business Address
-- SHANNON M KOSTELAC MSPT
290 E POMFRET ST
CARLISLE, PA 17013-2579
Phone number: 717-245-0400
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Mailing Address
-- SHANNON M KOSTELAC MSPT
509 NURSERY DR S
MECHANICSBURG, PA 17055-7020
Phone number: 717-790-9953
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