Individual
DAVID JAMES O'LOUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9436 69TH ST, KENOSHA, WI 53142-8111
(262) 945-5574
Mailing address
9436 69TH ST, KENOSHA, WI 53142-8111
(262) 945-5574
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/11/2016
Last updated
06/01/2016
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