JACOB RADLICH

ORCHARD PARK, NY
NPI1649703539
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY  003379)
Enumeration Date2017-04-06
Last Update Date2017-04-06
Business Address
-- JACOB RADLICH ATC, LAT
1 BILLS DR
ORCHARD PARK, NY 14127-2237
Phone number: 716-939-4469
Mailing Address
-- JACOB RADLICH ATC, LAT
34 BRIARCLIFF RD
BUFFALO, NY 14225-1502
Phone number: