ALEX LAROSA

RICHMOND, KY
NPI1689619991
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KY  AT561)
Enumeration Date2006-06-19
Last Update Date2007-07-08
Business Address
-- ALEX LAROSA MS, ATC
526 EASTERN BYP
RICHMOND, KY 40475-2328
Phone number: 859-623-4567
Mailing Address
-- ALEX LAROSA MS, ATC
108 MADISON HILLS BLVD
RICHMOND, KY 40475-8103
Phone number: