Individual
ELIZABETH MOERMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 MIAMI VALLEY DR, CENTERVILLE, OH 45459-4774
(440) 708-4122
Mailing address
900 E DAYTON YELLOW SPRINGS RD, FAIRBORN, OH 45324-3912
(440) 708-4122
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000010917
OH
Other
Enumeration date
08/14/2015
Last updated
08/14/2015
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