Individual
ADDISON GRACE TROWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3204 CULLEN BLVD, HOUSTON, TX 77204-6000
(743) 713-9370
Mailing address
2413 HARVILLE RD, STATESBORO, GA 30458-5861
(912) 314-1234
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT9082
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2020
Last updated
06/15/2022
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