Bryan Joseph Domitrz, ATC, LAT

NPI #1871186304 in Normal, Illinois

Provider Information

NPI Number
1871186304
Entity Type
Individual
Name
Bryan Joseph Domitrz, ATC, LAT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC, LAT
Enumeration Date
Feb 16, 2021
Last Updated
Feb 16, 2021

Practice Location

Address
501 N PARKSIDE RD
City
Normal
ZIP Code
61761-2780
Phone
(309) 557-4402

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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