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Individual

PATRICK ROTHSCHADL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
812 S PARK ST, CARROLLTON, GA 30117-4412
(770) 834-7436
(770) 830-5954
Mailing address
812 S PARK ST, CARROLLTON, GA 30117-4412
(770) 834-7436
(770) 830-5954

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001292
GA

Other

Enumeration date
04/30/2006
Last updated
09/19/2007
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