Individual
JOHNATHON CORTAZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
4001 LOS PRESIDENTES AVE, LAREDO, TX 78046-6044
(956) 473-5400
Mailing address
4001 LOS PRESIDENTES AVE, LAREDO, TX 78046-6044
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6668
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/11/2015
Last updated
03/17/2018
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