Individual
DANIELLE BARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
600 E FICKLIN ST APT 212, TUSCOLA, IL 61953-1917
(708) 415-2225
Mailing address
600 E FICKLIN ST APT 212, TUSCOLA, IL 61953-1917
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
09605478
IL
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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