Individual
MR. ALEXANDER L AVALLON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
414 COMMERCE DR, SUITE 130 TEMPLE SPORTS MEDICINE, FORT WASHINGTON, PA 19034-2618
(215) 641-0700
(215) 641-0637
Mailing address
414 COMMERCE DR, SUITE 130 TEMPLE SPORTS MEDICINE, FORT WASHINGTON, PA 19034-2618
(215) 641-0700
(215) 641-0637
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT001279A
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
RESPIRATORY, REHABILITATI
PA
Enumeration date
02/16/2007
Last updated
07/08/2007
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