Individual
LISA M MOTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1200 WILLARD ST, WASHINGTON COURT HOUSE, OH 43160-2376
(740) 335-0820
Mailing address
523 W ELM ST, WASHINGTON COURT HOUSE, OH 43160-1845
(740) 636-0714
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT00634
OH
Other
Enumeration date
06/10/2007
Last updated
07/08/2007
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