KEVIN WILLIAM FORTIER

LYNCHBURG, VA
NPI1902392582
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA  0126002915)
Enumeration Date2018-07-06
Last Update Date2018-07-06
Business Address
KEVIN WILLIAM FORTIER LAT, ATC
1971 UNIVERSITY BLVD
LYNCHBURG, VA 24515-0002
Phone number: 434-582-3197
Mailing Address
KEVIN WILLIAM FORTIER LAT, ATC
301 NORTHWYND CIR APT 204
LYNCHBURG, VA 24502-3415
Phone number: 518-586-2393
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