Individual
MICHELLE LYNEE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC/L
Contact information
Practice address
50 GREYSTONE CT APT D, ANNAPOLIS, MD 21403-5715
(443) 534-4133
(410) 544-9455
Mailing address
50 GREYSTONE CT APT D, ANNAPOLIS, MD 21403-5715
(443) 534-4133
(410) 544-9455
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0000323
MD
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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