Individual
ROB EDWARD COY II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AT/ATC
Contact information
Practice address
3946 ICE WAY, FORT WAYNE, IN 46805-1018
(419) 689-9911
Mailing address
3946 ICE WAY, FORT WAYNE, IN 46805-1018
(419) 689-9911
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36003985A
IN
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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