Jack Patrick Homan, MAT, AT

NPI #1588200273 in Celina, Ohio

Provider Information

NPI Number
1588200273
Entity Type
Individual
Name
Jack Patrick Homan, MAT, AT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
MAT, AT
Enumeration Date
Nov 18, 2019
Last Updated
Nov 18, 2019

Practice Location

Address
7486 STATE ROUTE 274
City
Celina
State
Ohio
ZIP Code
45822-9566
Phone
(567) 644-3286

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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