Leo J Corral, LAT, ATC
NPI #1205346491 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1205346491
- Entity Type
- Individual
- Name
- Leo J Corral, LAT, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- LAT, ATC
- Enumeration Date
- Oct 3, 2017
- Last Updated
- Feb 28, 2023
Practice Location
- Address
- 2101 E COLISEUM BLVD
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46805-1445
- Phone
- (260) 481-6656
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
| Student in an Organized Health Care Education/Training Program |
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