Individual
JONATHAN KOTREDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1500 S CAPITOL ST SE, WASHINGTON, DC 20003-3599
(202) 302-9255
Mailing address
6393 BRANCHWOOD DR, LAKE WORTH, FL 33467-7378
(207) 951-1702
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL4359
FL
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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