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CARRINGTON ALYSSA ASTIN ATC

Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1811257389

Individual Registrant:
 CARRINGTON ALYSSA ASTIN ATC
Gender: F
Not Sole Proprietor

Location and contact information for practice:
224 SHORTER AVE NW  ROME, GA 30165-4288 US
Tel: 706-235-2727  Fax: 706-235-2726

Contact information for business:
PO BOX 949  ROME, GA 30162-0949 US
Tel: 706-802-1991  Fax: 706-236-2774

Registration Information:
NPI: 1811257389
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
Athletic Trainer
GAAT001977

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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