Theodore Edward Ogilvie Jr.
Specialist/Technologist, Athletic Trainer in Scottsdale, AZ. Individual provider (NPI-1).
NPI number1336729409
StatusActive
Last updated in NPPESApr 12, 2021
Details
- NPI
- 1336729409
- Entity type
- Individual (NPI-1)
- Name
- Theodore Edward Ogilvie Jr.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 12, 2021
- Certification date
- Feb 3, 2021
- Last updated
- Apr 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | ATR-009253 | AZ | Yes |
Practice location
7949 E Acoma DrScottsdale, AZ 85260-6904
Phone 530-515-5814
Mailing address
7949 E Acoma DrScottsdale, AZ 85260-6904
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