ANTHONY CRAIG PORTWOOD

ORMOND BEACH, FL
NPI1831156785
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: FL  AL421)
Enumeration Date2006-04-26
Last Update Date2007-07-08
Business Address
MR. ANTHONY CRAIG PORTWOOD MS, ATC, LAT
1151 W GRANADA BLVD
ORMOND BEACH, FL 32174-5912
Phone number: 386-677-6455
Mailing Address
MR. ANTHONY CRAIG PORTWOOD MS, ATC, LAT
1023 CALLE GRANDE ST
ORMOND BEACH, FL 32174-7445
Phone number: 386-677-4651
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