NPI 1174927420

Jennifer Rose Anderson, ATC

Practitioner Athletic Trainer St Marys City, MD

Practice location

Address: 18952 E Fisher Rd, St Marys City, MD 20686-3002
Phone: (240) 895-2135

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence A00669 (MD)

Other Specialist/Technologist providers in Maryland →

Registry record

NPI: 1174927420
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Oct 2014
Record last updated: 15 Oct 2014

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.