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

Registrant NPI Number: 1881192565

Individual Registrant:
Gender: F
Sole Proprietor

Location and contact information for practice:
3595 MOONEY RD  RADNOR, OH 43066-9797 US
Tel: 740-513-8999  Fax: --

Contact information for business:
3595 MOONEY RD  RADNOR, OH 43066-9797 US
Tel: 740-513-8999  Fax: --

Registration Information:
NPI: 1881192565
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Athletic Trainer
Organized Health Care Education/Training Program

Legacy codes, insurance codes and state license numbers:



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