Individual
TSUTOMU KAMIYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2300 EL JOBEAN RD, PORT CHARLOTTE, FL 33948-1109
(937) 409-6383
Mailing address
2300 EL JOBEAN RD, PORT CHARLOTTE, FL 33948-1109
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/26/2017
Last updated
10/16/2018
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