Individual
MISS ALEXANDRIA ROSWITA SAWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
900 N JOHN R WOODEN DR, WEST LAFAYETTE, IN 47907-2117
(765) 494-1703
Mailing address
10525 S LONGWOOD DR, CHICAGO, IL 60643-2615
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096003587
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
096003587
LICENSED ATHLETIC TRAINER
IL
Enumeration date
08/07/2017
Last updated
08/07/2017
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