Individual
CHRISTIAN TERRI ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1827 PROSPECT DR APT D, CHARLOTTE, NC 28213-8480
(980) 428-4909
Mailing address
1827 PROSPECT DR APT D, CHARLOTTE, NC 28213-8480
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000042524080
NC
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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