David Wayne Viaclovsky, LAT

NPI #1578896874 in Rosenberg, Texas

Provider Information

NPI Number
1578896874
Entity Type
Individual
Name
David Wayne Viaclovsky, LAT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
LAT
Enumeration Date
Sep 17, 2009
Last Updated
Sep 17, 2009

Practice Location

Address
7404 TOWN CENTER BLVD APT 812
State
Texas
ZIP Code
77471-6233
Phone
(281) 543-7880

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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