Individual
PROF. MATTHEW SCOTT O'BRIEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD, ATC, LAT
Contact information
Practice address
103 GALLAGHER IBA HALL, STILLWATER, OK 74078-0001
(405) 744-9439
Mailing address
3108 W 30TH AVE, STILLWATER, OK 74074-2215
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-302
OK
Other
Enumeration date
09/13/2005
Last updated
07/08/2007
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