Individual
JOHN BRADLEY PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16018 OAKHURST LN, FISHERS, IN 46040-6004
(317) 358-3744
Mailing address
16018 OAKHURST LN, FISHERS, IN 46040-6004
(317) 358-3744
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
9370106031
IN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
9370106031
IN
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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