Individual
DANIEL JOSEPH PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1201 LOCUST AVE, FAIRMONT, WV 26554-2451
(304) 367-4737
Mailing address
11 MILL RD, SAG HARBOR, NY 11963-1506
(631) 871-0589
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/26/2020
Last updated
04/26/2020
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