Provider Demographics
NPI:1942283916
Name:O'BRIEN, TERRY L (ATC)
Entity Type:Individual
Prefix:MR
First Name:TERRY
Middle Name:L
Last Name:O'BRIEN
Suffix:
Gender:M
Credentials:ATC
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Mailing Address - Street 1:40 SUGAR TREE PL
Mailing Address - Street 2:
Mailing Address - City:COCKEYSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21030-3185
Mailing Address - Country:US
Mailing Address - Phone:410-667-6535
Mailing Address - Fax:
Practice Address - Street 1:TOWSON UNIVERSITY - ATHLETICS SPORTS MEDICINE
Practice Address - Street 2:8000 YORK RD. FIELD HOUSE 101
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21252-0001
Practice Address - Country:US
Practice Address - Phone:410-704-3606
Practice Address - Fax:410-704-2727
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-23
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer