SCOTT ANTHONY DECIANTIS

AIKEN, SC
NPI1003825969
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: SC  491)
Enumeration Date2006-08-07
Last Update Date2007-07-08
Business Address
MR. SCOTT ANTHONY DECIANTIS ATC
471 UNIVERSITY PARKWAY USCA ATEP
AIKEN, SC 29801
Phone number: 803-641-3207
Mailing Address
MR. SCOTT ANTHONY DECIANTIS ATC
3428 WESTMONT DR
AIKEN, SC 29801-2969
Phone number: 803-439-1677
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