Individual
MR. MICHAEL ANTHONY ROPPOLO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
1800 4TH ST, HARVEY, LA 70058-4414
(504) 738-3954
Mailing address
190 SAUVE RD, RIVER RIDGE, LA 70123-1934
(504) 738-3954
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
J00020
LA
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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