Individual
ALI ZOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5059 FORD ST, SPEEDWAY, IN 46224-6929
(317) 319-2226
Mailing address
5059 FORD ST, SPEEDWAY, IN 46224-6929
(317) 319-2226
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/08/2020
Last updated
02/08/2020
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