Individual
LAURA ANTONELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 WELLMAN WAY, ATTN: MCCREARY FOOTBALL COMPLEX, WINSTON-SALEM, NC 27109
(401) 871-2724
Mailing address
1 WELLMAN WAY, ATTN: MCCREARY FOOTBALL COMPLEX, WINSTON-SALEM, NC 27109
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-5568
NC
Other
Enumeration date
07/09/2020
Last updated
11/20/2024
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