Individual
KATIE CORNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2862 DEERHAVEN DR, CINCINNATI, OH 45244-4524
(513) 562-7891
Mailing address
2862 DEERHAVEN DR, CINCINNATI, OH 45244-2819
(513) 562-7891
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/02/2018
Last updated
12/02/2018
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