Individual
ANDREW SIMON-WAMBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
501 E 38TH ST, ERIE, PA 16546-0002
(608) 206-7862
Mailing address
501 E 38TH ST, ERIE, PA 16546-0002
(608) 206-7862
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT005572
PA
Other
Enumeration date
07/19/2014
Last updated
07/19/2014
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