Individual
THOMAS PATRICK O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2416
MA
2255A2300X
Athletic Trainer
AT00339
RI
363A00000X
Physician Assistant
PA1851
NV
363AS0400X
Surgical Physician Assistant
Primary
PA7872
MA
Other
Enumeration date
08/11/2014
Last updated
11/10/2025
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