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ALICIA MARIE ROANE ATC

Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1174550677

Individual Registrant:
 ALICIA MARIE ROANE ATC
Gender: F
Not Sole Proprietor

Location and contact information for practice:
UNIVERSITY OF NOTRE DAME C113 JOYCE CENTER - SPORTS MEDICINE NOTRE DAME, IN 46556 US
Tel: 574-631-7100  Fax: 574-631-3305

Contact information for business:
UNIVERSITY OF NOTRE DAME C113 JOYCE CENTER - SPORTS MEDICINE NOTRE DAME, IN 46556 US
Tel: 574-631-7100  Fax: 574-631-3305

Registration Information:
NPI: 1174550677
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
Athletic Trainer
GA

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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