Individual
JOHN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
3212 STADIUM TOWERS, VETERANS DRIVE - TROY UNIVERSITY, TROY, AL 36082-0001
(334) 670-3722
Mailing address
304 MURPHREE ST, TROY, AL 36081-2115
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
13
AL
Other
Enumeration date
03/24/2007
Last updated
07/08/2007
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