Individual
JOSEPH THOMAS ERDELJAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
2561 NOVA CIR, COOKEVILLE, TN 38501-5627
(931) 261-3858
Mailing address
2561 NOVA CIR, COOKEVILLE, TN 38501-5627
(931) 261-3858
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0000000096
TN
Other
Enumeration date
02/08/2006
Last updated
01/14/2008
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