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Individual

MEGAN E IWANSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC, LMT

Contact information

Practice address
1611 S GREEN RD, #36, CLEVELAND, OH 44121-4128
(216) 291-0108
Mailing address
738 HOGUE AVE, AKRON, OH 44310-2425

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22
ATHLETIC TRAINER
OH
Enumeration date
02/23/2008
Last updated
02/23/2008
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