MR. Benjamin Bradford Fraser, ATC, LAT, CSCS
NPI #1023298106 in Terre Haute, Indiana
Provider Information
- NPI Number
- 1023298106
- Entity Type
- Individual
- Name
- MR. Benjamin Bradford Fraser, ATC, LAT, CSCS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC, LAT, CSCS
- Enumeration Date
- Nov 6, 2007
- Last Updated
- Nov 6, 2007
Practice Location
- Address
- ATHLETIC TRAINING DEPARTMENT C-06
- Address 2
- INDIANA STATE UNIVERSITY
- City
- Terre Haute
- State
- Indiana
- ZIP Code
- 47809-0001
- Phone
- (812) 237-8232
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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