Individual
RICHARD PERCIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1020 TRUMP RD NW, CARROLLTON, OH 44615-8422
(330) 627-6801
(330) 627-6803
Mailing address
445 W LINCOLN WAY, LISBON, OH 44432-1107
(330) 424-5482
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-000797
OH
Other
Enumeration date
05/04/2007
Last updated
09/02/2008
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