Individual
ROBERT ANTHONY DEWAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3018 CHARLOTTE AVE, MCHENRY, IL 60050-5825
(850) 529-1760
Mailing address
3018 CHARLOTTE AVE, MCHENRY, IL 60050-5825
(850) 529-1760
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7765
TX
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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