Individual
MADELINE AWTREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
11900 PLEASANT RIDGE RD, APT. #1324, LITTLE ROCK, AR 72223-2348
(314) 482-2098
Mailing address
11900 PLEASANT RIDGE RD, APT. #1324, LITTLE ROCK, AR 72223-2348
(314) 482-2098
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
689
AR
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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