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Individual

JOSEPH LUAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, ATC, LAT

Contact information

Practice address
901 PAGE AVE # 7341, FREMONT, CA 94538-7341
(510) 778-2417
Mailing address
901 PAGE AVE # 7341, FREMONT, CA 94538-7341
(510) 778-2417

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0126001962
VA
2255A2300X
Athletic Trainer
1580
AZ
2255A2300X
Athletic Trainer
AL3767
FL
2255A2300X
Athletic Trainer
AT002903
GA
2255A2300X
Athletic Trainer
Primary
CA

Other

Enumeration date
12/27/2017
Last updated
11/06/2020
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