Individual
BLAIR ANDERES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
8510 MCALPINE PARK DR, CHARLOTTE, NC 28211-6000
(704) 841-8644
Mailing address
8510 MCALPINE PARK DR, CHARLOTTE, NC 28211-6000
(704) 841-8644
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
5282
NC
Other
Enumeration date
03/08/2023
Last updated
03/30/2023
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