Individual
ANDREW JAMES OXENREIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
140 LACKAWANNA AVE APT 3, EAST STROUDSBURG, PA 18301-2217
(484) 358-1501
Mailing address
140 LACKAWANNA AVE APT 3, EAST STROUDSBURG, PA 18301-2217
(484) 358-1501
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W0064 59366-02
AETNA
—
Enumeration date
08/10/2011
Last updated
08/10/2011
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