Individual
OLIVIA L TEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
49 HABERSAC AVE, PATASKALA, OH 43062-7554
(614) 800-7684
Mailing address
49 HABERSAC AVE, PATASKALA, OH 43062-7554
(614) 800-7684
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT006838
OH
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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