Individual
TERRANCE SHERIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3901 E. STANFORD DRIVE, PARADISE VALLYE, AZ 85253
(602) 882-2966
Mailing address
17416 N. 16TH PLACE, PHOENIX, AZ 85022
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0605
AZ
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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