Individual
LISA KATHRYN KLUCHUROSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.T.,C.
Contact information
Practice address
CHILDREN'S SPORTS MEDICINE, 479 PARSONS AVENUE, COLUMBUS, OH 43215-5577
(614) 722-5573
(614) 722-5581
Mailing address
7816 LANETTA LN, WESTERVILLE, OH 43082-9097
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT000082
OH
Other
Enumeration date
02/14/2006
Last updated
07/18/2015
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