Individual
EARL PATRICK WESLEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
A.T.C.
Contact information
Practice address
6700 CLARK RD, SARASOTA, FL 34241-9328
(941) 926-8295
(941) 923-7184
Mailing address
122 AMBO CIR, MIDDLE RIVER, MD 21220-1324
(618) 698-4017
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 1774
FL
Other
Enumeration date
04/20/2006
Last updated
07/08/2007
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