Individual
MR. ROBERT RICHARD DEJOHN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2540 SHERIDAN DR, TONAWANDA, NY 14150-9410
(716) 862-0567
Mailing address
65 HARRIET ST, TONAWANDA, NY 14150-2309
(716) 867-0168
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000162
NY
Other
Enumeration date
02/08/2006
Last updated
07/08/2007
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