Individual
MISS TEAH J SONICKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC,LAT
Contact information
Practice address
8244 E US HIGHWAY 36, 1260, AVON, IN 46123-9575
(317) 718-4263
(317) 272-7855
Mailing address
9536 N COUNTY ROAD 500 E, PITTSBORO, IN 46167-9247
(317) 286-8178
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
ATHLETIC TRAINER
IN
Enumeration date
05/09/2007
Last updated
07/08/2007
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