Individual
ETHAN T PCOLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
4805 WESTMONT AVE, CAMPBELL, CA 95008-5725
(845) 518-4259
Mailing address
945 FOOTHILL DR, SAN JOSE, CA 95123-2628
(845) 518-4259
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000021531
NY
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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