Individual
MS. AMY JOHANNA VANNEDERPELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
1 UNIVERSITY AVE, LOWELL, MA 01854-2827
(978) 934-2310
Mailing address
218 SCHOOL ST, WALTHAM, MA 02451-4551
(781) 492-7669
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MA
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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