Individual
ABBY TAYLOR DEDECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
100 PERIMETER ROAD, CLEMSON, SC 29631
(864) 656-1876
Mailing address
109 SADDLEHORN LN, EASLEY, SC 29642-3057
(717) 201-3309
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1097
SC
Other
Enumeration date
12/01/2009
Last updated
07/24/2014
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