Individual
DYLAN THOMAS TWIDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3032 PROPHET DR., HILLSBOROUGH, NC 27278
(919) 485-9179
Mailing address
3032 PROPHET DR, HILLSBOROUGH, NC 27278-7820
(919) 485-9179
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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