Individual
MISS CASSIDY ELIZABETH ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
289 W MAIN ST, HANCOCK, MD 21750-1342
(301) 766-8186
Mailing address
289 W MAIN ST, HANCOCK, MD 21750-1342
(301) 766-8186
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0000664
MD
Other
Enumeration date
09/30/2014
Last updated
09/30/2014
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