Individual
MEGHAN PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
820 FORT WAYNE AVE, INDIANAPOLIS, IN 46204-1309
(172) 039-4883
Mailing address
820 FORT WAYNE AVE, INDIANAPOLIS, IN 46204-1309
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000874A
IN
Other
Enumeration date
02/26/2013
Last updated
07/06/2023
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