Individual
KIRSTIN NICOLE ANTONAROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3483 MAUTINO DR, COLUMBUS, OH 43231-9211
(614) 623-4220
Mailing address
3483 MAUTINO DR, COLUMBUS, OH 43231-9211
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT006602
OH
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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