Individual
DANIEL THOMAS FORCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AT, ATC
Contact information
Practice address
6480 HARRISON AVE, CINCINNATI, OH 45247-7961
(513) 354-3700
Mailing address
6480 HARRISON AVE, CINCINNATI, OH 45247-7961
(513) 354-3700
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002396
OH
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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