Individual
MR. STEVEN THOMAS DALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
1801 N EOLA RD, AURORA, IL 60502-7065
(860) 834-9501
Mailing address
1980 SELMARTEN RD UNIT 3906, AURORA, IL 60505-1373
(860) 834-9501
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096005341
IL
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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