Individual
PAUL ANDREW CACOLICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.,C.
Contact information
Practice address
304 PATTERSON HALL, EXERCISE AND REHAB SCIENCES, SLIPPERY ROCK UNIVERSITY, SLIPPERY ROCK, PA 16057
(724) 738-4308
Mailing address
767 COTTONWOOD DR, MONROEVILLE, PA 15146-1103
(860) 841-3171
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CT
Other
Enumeration date
09/12/2005
Last updated
10/01/2010
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