MR. Patrick Larry, ATC

NPI #1205822863 in Decatur, Illinois

Provider Information

NPI Number
1205822863
Entity Type
Individual
Name
MR. Patrick Larry, ATC
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC
Enumeration Date
Sep 20, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
1613 BURNING TREE DR
ZIP Code
62521-9151
Phone
(217) 865-2637

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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