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Individual
MR. ANDREW M EAMES
Active
Individual
MR. ANDREW M EAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040-0103934
VT
2255A2300X
Athletic Trainer
104-0078895
VT
2255A2300X
Athletic Trainer
2000006432
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023504
—
VT
Enumeration date
05/16/2014
Last updated
06/10/2020
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