Individual
TREVOR LOTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
206 DANA ST, POTTSVILLE, PA 17901-4005
(570) 449-4448
Mailing address
206 DANA ST, POTTSVILLE, PA 17901-4005
(570) 449-4448
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/13/2016
Last updated
07/08/2017
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