MR. Jay Patrick Anderson, ATC

NPI #1306828645 in Elgin, Illinois

Provider Information

NPI Number
1306828645
Entity Type
Individual
Name
MR. Jay Patrick Anderson, ATC
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC
Enumeration Date
Nov 14, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
1151 N STATE ST
City
Elgin
ZIP Code
60123-1404
Phone
(847) 628-1592

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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