Individual
MOHAMMAD JABBAR AL-FATLAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MAT LAT ATC
Contact information
Practice address
8161 OLIVER RD, ERIE, PA 16509-4600
(814) 860-8788
Mailing address
545 W 31ST ST, ERIE, PA 16508-1742
(814) 860-8788
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT008092
PA
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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