Individual
DYLAN JON BAXENDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
450 SCHOOLHOUSE RD, JOHNSTOWN, PA 15904-2912
(412) 992-0936
Mailing address
376 SARATOGA DR, PITTSBURGH, PA 15236-4455
(412) 992-0936
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT006195
PA
Other
Enumeration date
11/07/2017
Last updated
11/07/2017
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