Individual
PATRICK T O'SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1150 DOUGLAS PIKE, ATHLETIC TRAINING, SMITHFIELD, RI 02917-0291
(401) 232-6073
Mailing address
133 PHILLIPS RD, EAST GREENWICH, RI 02818-3444
(401) 255-3980
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT00181
RI
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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