Individual
MR. JOSHUA MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
106 W JANSS RD, THOUSAND OAKS, CA 91360-3327
(805) 495-6494
Mailing address
106 W JANSS RD, THOUSAND OAKS, CA 91360-3327
(805) 495-6494
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/30/2015
Last updated
03/30/2015
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