Brent Alexander Roark, ATC
NPI #1083121917 in Athens, West Virginia
Provider Information
- NPI Number
- 1083121917
- Entity Type
- Individual
- Name
- Brent Alexander Roark, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Dec 31, 2017
- Last Updated
- Dec 31, 2017
Practice Location
- Address
- 1000 VERMILLION ST
- City
- Athens
- State
- West Virginia
- ZIP Code
- 24712-9027
- Phone
- (304) 384-6320
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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