Individual
ANDREW BOORTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
4869 S BRADLEY RD, SUITE 114, SANTA MARIA, CA 93455-5065
(805) 938-5320
Mailing address
4869 S BRADLEY RD, SUITE 114, SANTA MARIA, CA 93455-5065
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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