Individual
PATRICK JOHN ANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
620 TEAL DR, PHENIX CITY, AL 36870-8049
(850) 319-9443
Mailing address
620 TEAL DR, PHENIX CITY, AL 36870-8049
(850) 319-9443
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/13/2012
Last updated
07/13/2012
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