RICK DVORAK

KENOSHA, WI
NPI1164879300
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI  1818)
Enumeration Date2016-05-18
Last Update Date2016-05-18
Business Address
-- RICK DVORAK ATC, LAT
2717 18TH ST SUITE 100
KENOSHA, WI 53140-4666
Phone number: 262-551-5650
Mailing Address
-- RICK DVORAK ATC, LAT
PO BOX 3497
STURTEVANT, WI 53177-0300
Phone number: 877-552-2996