Individual
CANDY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
567 N 5TH ST, TERRE HAUTE, IN 47809-1903
(812) 237-4066
Mailing address
567 N 5TH ST, TERRE HAUTE, IN 47809-1903
(812) 237-4066
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001687A
IN
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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