NPI 1033632203

Octavio Andres Tobar

Practitioner Athletic Trainer Kennesaw, GA

Practice location

Address: 1950 Barrett Lakes Blvd NW APT 1213, Kennesaw, GA 30144
Phone: (813) 447-0124
Mailing address: 1950 Barrett Lakes Blvd NW APT 1213, Kennesaw, GA 30144-7535

Registered specialties (2)

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT003335 (GA)

Other Specialist/Technologist providers in Georgia →

Athletic Trainer

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AL4196 (FL)

Registry record

NPI: 1033632203
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jul 2017
Record last updated: 20 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.