Individual
KIM DAWN O'LEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4900 SAND CREEK RD, ANTIOCH, CA 94531-8680
(925) 779-7540
Mailing address
4900 SAND CREEK RD, ANTIOCH, CA 94531-8680
(925) 595-5944
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
900187
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900187
NATIONL ATHLETIC TRAINERS ASSOCIATION
KY
Enumeration date
04/24/2020
Last updated
04/24/2020
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