Individual
MR. THOMAS WILLIAM OBRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA,ATC
Contact information
Practice address
4513 MONUMENT AVE, RICHMOND, VA 23230
(804) 359-0369
Mailing address
4513 MONUMENT AVE, RICHMOND, VA 23230
(804) 359-0369
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000031
VA
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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