Individual provider · NPI-1

James O'Leary, ATC

Specialist/Technologist, Athletic Trainer · Lorain, OH

NPI number1982155727
StatusActive
Last updated in NPPESOct 17, 2016

Details

NPI
1982155727
Entity type
Individual (NPI-1)
Name
James O'Leary
Credential
ATC
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 17, 2016
Last updated
Oct 17, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer911OHYes

Practice location

5800 Cooper Foster Park Rd W
Lorain, OH 44053-4131

Phone 440-204-7800

Mailing address

3488 Bellflower Dr
Lorain, OH 44053-2182

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