Individual
MIKE CAMMAROTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T.C. , C.S.C.S.
Contact information
Practice address
600 REED RD, SUITE 101, BROOMALL, PA 19008-3505
(610) 353-9400
Mailing address
600 REED RD, SUITE 101, BROOMALL, PA 19008-3505
(610) 353-9400
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT002064A
PA
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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