MR. Abu Ibrahim, ATC, LAT

NPI #1285057513 in Oskaloosa, Iowa

Provider Information

NPI Number
1285057513
Entity Type
Individual
Name
MR. Abu Ibrahim, ATC, LAT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC, LAT
Enumeration Date
Jan 22, 2014
Last Updated
Jan 22, 2014

Practice Location

Address
201 TRUEBLOOD AVE
State
Iowa
ZIP Code
52577-1757
Phone
(641) 673-1093

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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