Individual
DR. DAI SUGIMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
W3718 SOUTH DR, LAKELAND COLLEGE - ATHLETICS, PLYMOUTH, WI 53073-4878
(920) 565-1510
Mailing address
150 BROWN STREET, 2R, WALTHAM, MA 02453
(724) 433-0778
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
763-039
WI
Other
Enumeration date
11/01/2007
Last updated
06/11/2019
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