Omar Asid
Specialist/Technologist, Athletic Trainer in Philadelphia, PA. Individual provider (NPI-1).
NPI number1205360633
StatusActive
Last updated in NPPESApr 12, 2017
Details
- NPI
- 1205360633
- Entity type
- Individual (NPI-1)
- Name
- Omar Asid
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 12, 2017
- Last updated
- Apr 12, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
1016 E Moyamensing AvePhiladelphia, PA 19147-4231
Phone 215-303-5433
Mailing address
1016 E Moyamensing AvePhiladelphia, PA 19147-4231
Phone 215-303-5433
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