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CHRISTIAN RICHARD FOSLER ATC

Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1205373651

Individual Registrant:
 CHRISTIAN RICHARD FOSLER ATC
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1000 VERMILLION ST  ATHENS, WV 24712-9027 US
Tel: 304-384-6320  Fax: 304-384-5117

Contact information for business:
1123 FOX HILLS DR  HOWELL, MI 48843-8537 US
Tel: --  Fax: --

Registration Information:
NPI: 1205373651
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
Athletic Trainer
N390200000XStudent
Organized Health Care Education/Training Program

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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