Individual
RENEE ANTHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4101 WASHINGTON AVE, NEWPORT NEWS, VA 23607-2734
(757) 613-9508
Mailing address
4101 WASHINGTON AVE, NEWPORT NEWS, VA 23607-2734
(757) 613-9508
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001304
VA
Other
Enumeration date
05/21/2015
Last updated
05/21/2015
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