Individual
MR. CHRISTOPHER ALAN FERTAL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC.,EMT,CSCS
Contact information
Practice address
1101 CITY AVE, WYNNEWOOD, PA 19096-3418
(610) 645-5089
(610) 658-5616
Mailing address
279 CONGRESS AVE, LANSDOWNE, PA 19050-1206
(610) 960-6822
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003258
PA
Other
Enumeration date
09/06/2005
Last updated
07/08/2007
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