Oa Associated LLC
NPI #1699061259 in Belleville, Illinois
Provider Information
- NPI Number
- 1699061259
- Entity Type
- Organization
- Organization Name
- Oa Associated LLC
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Jun 22, 2011
- Last Updated
- Jun 22, 2011
Practice Location
- Address
- 4550 MEMORIAL DR
- Address 2
- MOC-1, SUITE G-100
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62226-5372
- Phone
- (618) 236-2246
Authorized Official
- Name
- JASON DANIEL NOELDNER, ATC,LAT
- Title
- ATHLETIC TRAINER
- Phone
- (618) 236-2246
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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