Individual
ZACHARY EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
289 W MAIN ST, HANCOCK, MD 21750-1342
(818) 630-1766
Mailing address
3621 OAKLEY LN, GREENCASTLE, PA 17225-8747
(814) 279-4049
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0000652
MD
2255A2300X
Athletic Trainer
RT005774
PA
Other
Enumeration date
01/19/2019
Last updated
01/19/2019
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