Individual
JOHN SALVATORE PASCUZZI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT, OTC
Contact information
Practice address
1968 HAWKS LN NE, BROOKHAVEN, GA 30329-2283
(404) 778-7137
Mailing address
309 JACKSON AVE, WARREN, PA 16365-2641
(814) 688-2918
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT003441
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
05/10/2021
Last updated
05/10/2021
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