Individual
MS. DAWN YVONNE ANTHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
748 STANFIELD DR, CHARLOTTE, NC 28210-2816
(724) 859-2536
Mailing address
748 STANFIELD DR, CHARLOTTE, NC 28210-2816
(724) 859-2536
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1500
NC
2255A2300X
Athletic Trainer
RT003719
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020502121
NATA CERTIFICATION NUMBER
PA
01
—
1500
NC LICENSE
NC
01
—
RT003719
PA STATE LICENSE NUMBER
PA
Enumeration date
10/18/2006
Last updated
01/20/2012
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