Individual
PATRICK DEAN MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
275 EASTLAND RD, BEREA, OH 44017-2005
(440) 826-2900
Mailing address
275 EASTLAND RD, BEREA, OH 44017-2005
(440) 826-2900
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/24/2016
Last updated
05/29/2016
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