Individual
ANDREA L PEABODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1326 HATHERSAGE PL, GALLOWAY, OH 43119-9271
(419) 654-0705
Mailing address
1326 HATHERSAGE PL, GALLOWAY, OH 43119-9271
(419) 654-0705
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/18/2011
Last updated
12/18/2011
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