Individual
MR. ROBERT OATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AT, ATC, CES, PES
Contact information
Practice address
115 W MAIN ST UPPR LEVEL, WILMINGTON, OH 45177-2238
(816) 304-3187
Mailing address
115 W MAIN ST UPPR LEVEL, WILMINGTON, OH 45177-2238
(816) 304-3187
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
004558
OH
Other
Enumeration date
04/15/2016
Last updated
04/15/2016
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