Individual
TINA SCULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
584 COUNTY LINE RD W, WESTERVILLE, OH 43082-7245
(614) 355-6036
Mailing address
584 COUNTY LINE RD W, WESTERVILLE, OH 43082-7245
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003936
OH
Other
Enumeration date
08/01/2012
Last updated
08/01/2012
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