Individual
WILLIAM CAROLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
100 GREEN LN, BRISTOL, PA 19007-5609
(215) 307-5938
Mailing address
100 GREEN LN, BRISTOL, PA 19007-5609
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT005330
PA
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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