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NICOLE SURMAN MED, ATC
Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1487052130
Individual Registrant: NICOLE SURMAN MED, ATC
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
6995 SHANER DR WALTON HILLS, OH 44146-4301 US
Tel: 216-323-1567 Fax: --
Tel: 216-323-1567 Fax: --
Contact information for business:
6995 SHANER DR WALTON HILLS, OH 44146-4301 US
Tel: 216-323-1567 Fax: --
Tel: 216-323-1567 Fax: --
Registration Information:
NPI: 1487052130
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 2255A2300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist Athletic Trainer | OH | 003678 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
