Individual
ERIC AURELIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
31 W COULTER ST, PHILADELPHIA, PA 19144-2801
(215) 951-2300
Mailing address
100 W OXFORD ST APT 503, PHILADELPHIA, PA 19122-3927
(845) 721-4202
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT006292
PA
Other
Enumeration date
12/21/2018
Last updated
12/21/2018
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