Individual
ABBY BOULDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
701 W SCHICK RD, BARTLETT, IL 60103-3046
(630) 372-4620
Mailing address
648 OTTER WAY, OSWEGO, IL 60543-7112
(630) 272-2733
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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