Individual
EDWARD CARLISLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
90 REMICK BLVD, SPRINGBORO, OH 45066-9168
(937) 886-1510
(937) 886-1505
Mailing address
90 REMICK BLVD, SPRINGBORO, OH 45066-9168
(937) 886-1510
(937) 886-1505
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.001497
OH
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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