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Individual

MR. ANTHONY DAMETRIUS SANTANA JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LAT, ATC

Contact information

Practice address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
(215) 707-2111
(215) 707-2423
Mailing address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
(215) 707-2111
(215) 707-2423

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT008517

Other

Enumeration date
02/04/2026
Last updated
02/04/2026
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