Healthcare Provider Details

I. General information

NPI: 1639134547
Provider Name (Legal Business Name): JAMES WARREN OCHSE ATC, CSCS,D, NSCA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/20/2006
Last Update Date: 09/06/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DESALES UNIVERSITY 2755 STATION AVE.
CENTER VALLEY PA
18034-9668
US

IV. Provider business mailing address

1525 CHURCH RD
ALLENTOWN PA
18103-8334
US

V. Phone/Fax

Practice location:
  • Phone: 610-282-1100
  • Fax:
Mailing address:
  • Phone: 610-798-0353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberRT001722A
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: