Individual
ANTHONY VIDALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
642 S QUEEN ST, SUITE 101, DOVER, DE 19904-3506
(302) 724-6344
Mailing address
109 CEDAR LN, CAMDEN, DE 19934-1306
(815) 529-9064
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/17/2015
Last updated
12/13/2016
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