Individual
JOHN ELMER ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2201 UNIVERSITY DR, LEMONT FURNACE, PA 15456-1025
(724) 430-4254
(724) 430-4135
Mailing address
12350 ROTH DR, NORTH HUNTINGDON, PA 15642-2958
(724) 771-8096
(724) 430-4135
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RTO000239
PA
Other
Enumeration date
01/18/2019
Last updated
02/05/2020
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