Individual
MICHAEL ANTOINE WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
3301 MARKET ST, PHILADELPHIA, PA 19104-5004
(215) 895-0563
Mailing address
3301 MARKET ST, PHILADELPHIA, PA 19104-5004
(215) 895-0563
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/20/2014
Last updated
04/25/2018
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