Individual
THOMAS NEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
117 S HALCYON RD, ARROYO GRANDE, CA 93420-3115
(805) 481-5656
Mailing address
1217 SAN SORRENTO CT, GROVER BEACH, CA 93433-3246
(805) 481-9386
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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