Individual provider · Type 1 NPI

Peter O'Fallon Jr., ATC/LAT

Athletic Trainer · Destin, FL

NPI number 1104200179 Active

Practice location

4421 Commons Dr E, Suite-B 108
Destin, FL 32541-3484

Mailing address

93 Dune Lakes Cir, B106
Santa Rosa Beach, FL 32459-8393

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer Primary 2255A2300XAL 4145 (FL)

Athletic Trainer: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanc…

Another provider at this address

About NPI 1104200179

Peter O'Fallon Jr., ATC/LAT's National Provider Identifier is 1104200179, issued on Jul 19, 2015. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Destin, FL. The record was last updated on Jul 19, 2015.