Individual
AMY JOLENE PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3555 S VAL VISTA DR, GILBERT, AZ 85297-7323
(480) 728-8000
Mailing address
455 S RECKER RD APT 1042, GILBERT, AZ 85296-1209
(360) 751-1738
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/22/2017
Last updated
06/22/2017
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