Individual
AMI FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
700 NEW SCHOOL LN, DALLASTOWN, PA 17313-9242
(717) 858-7928
Mailing address
570 THOMAS ARMOR DR, WINDSOR, PA 17366-9026
(717) 858-7928
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004841
PA
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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