Individual
TE CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 US 42 E, XENIA, OH 45385
(937) 474-4105
Mailing address
PO BOX 21, WILBERFORCE, OH 45384-0021
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/27/2016
Last updated
08/25/2017
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