Individual
MISS ROSALYN ALECE WARE - MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC/LAT
Contact information
Practice address
1500 N RITTER AVE, INDIANAPOLIS, IN 46219-3027
(732) 425-5289
Mailing address
7131 MCINTOSH LN, 2C, INDIANAPOLIS, IN 46226-7802
(732) 425-5289
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001916A
IN
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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