Individual
MR. ANDREW GRANT GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
5772 BOLSA AVE, SUITE 101, HUNTINGTON BEACH, CA 92649-1134
(714) 897-3589
Mailing address
18229 REGINA AVE, TORRANCE, CA 90504-4609
(310) 703-4549
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/18/2005
Last updated
07/08/2007
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