Individual
MR. JACK ANTHONY THORPE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
18111 NORDHOFF ST, NORTHRIDGE, CA 91330-0001
(805) 512-1480
Mailing address
1390 GINA DR, OXNARD, CA 93030-3266
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/09/2020
Last updated
07/20/2022
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