NPI 1033720073

Anthoni Austin Wedderburn, ATCLAT

Practitioner Athletic Trainer Raleigh, NC

Practice location

Address: 1401 Edwards Mill Rd, Raleigh, NC 27607-0718
Phone: (919) 834-1625
Fax: (919) 834-9771
Mailing address: 5501 Thunderidge Dr, Raleigh, NC 27610-5163

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence LAT-1496 (NC)

Other Specialist/Technologist providers in North Carolina →

Registry record

NPI: 1033720073
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Aug 2020
Record last updated: 13 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.