Individual
BETHANY RUTH KOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
347 S GLADSTONE AVE, AURORA, IL 60506-4877
(630) 892-6431
Mailing address
6 WOODSIDE DR, WASHINGTON, PA 15301-3032
(724) 554-1521
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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