Individual
BRIAN MCGIVERN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
48 MOORE AVE, ATHENS, OH 45701
(203) 246-7604
Mailing address
48 MOORE AVE, ATHENS, OH 45701-2749
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002566
OH
Other
Enumeration date
02/07/2006
Last updated
07/08/2007
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