NPI 1285057513

Abu Ibrahim, ATCLAT

Practitioner Athletic Trainer Oskaloosa, IA

Practice location

Address: 201 Trueblood Ave, Oskaloosa, IA 52577-1757
Phone: (641) 673-1093
Fax: (673) 641-1290

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 001207 (IA)

Other Specialist/Technologist providers in Iowa →

Registry record

NPI: 1285057513
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jan 2014
Record last updated: 22 Jan 2014

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.