Individual
MR. ABRAHAM NATHAN GILLESPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
250 CETRONIA RD, ALLENTOWN, PA 18104-9147
(610) 973-6200
Mailing address
11 S 3RD ST, COPLAY, PA 18037-1301
(610) 442-0755
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
RESPIRATORY, REHABILITATIVE & RESTORATIVE SERVICE PROVIDERS
—
Enumeration date
01/19/2012
Last updated
01/19/2012
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