DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DOOSAN PARK

Active Sole Proprietor

Athletic Trainer · DOVER, DE

Registration Details

NPI Number
1568914273
Provider Type
Individual
Gender
Male
NPI Issued
Oct 28, 2016 (9.4829932264618 yrs)
Last Updated
Oct 28, 2016
License
J3-0000634 (DE)
Sole Proprietor
Yes

Practice Information

Address
240 BEISER BLVD
SUITE 202
DOVER, DE, 199048208
Browse DE providers · Browse ZIP 19904
Phone
3027340300
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in DOVER, DE

Name Credential NPI
MS. LORI ANN LEARY MS, ATC 1245290519
DR. JOELLE L RUBINO ATC 1073559084
MS. ERIN DELIA MCLAUGHLIN MS ATC 1972638872
JESSICA GABURO 1548687320
BRETT SAMMONS 1225434889
ANTHONY VIDALI LAT, ATC 1336513241
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.