Individual
MR. DAN PATRICK DUNLEAVY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
200 N 7TH ST, ATHLETIC TRAINING DEPARTMENT C-06 INDIANA STATE UNIV, TERRE HAUTE, IN 47809-1902
(812) 237-8232
(812) 237-4368
Mailing address
1437 TIPPECANOE ST, TERRE HAUTE, IN 47807-2246
(267) 577-1086
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001426A
IN
Other
Enumeration date
09/04/2007
Last updated
09/04/2007
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