Individual
MS. KIRSTIE ANN BOURNIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
6324 TARA DR, YOUNGSTOWN, OH 44514-1677
(412) 862-7875
Mailing address
6324 TARA DR, YOUNGSTOWN, OH 44514-1677
(412) 862-7875
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
050302059
OH
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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