Individual
ANNE ELIZABETH RASTOVSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1454 CEDAR CREEK CT, VALPARAISO, IN 46385-6152
(219) 252-6719
Mailing address
1454 CEDAR CREEK CT, VALPARAISO, IN 46385-6152
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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