Individual
AUSTIN LEE PREWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
180 WOODS RD, OXFORD, PA 19363-4409
(484) 643-9793
Mailing address
180 WOODS RD, OXFORD, PA 19363-4409
(484) 643-9793
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
J3-0000644
DE
2255A2300X
Athletic Trainer
RT006469
PA
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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