Individual
ELYSSA LABINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
53 RICHLAND AVE, ATHENS, OH 45701-2745
(740) 593-9497
Mailing address
53 RICHLAND AVE, ATHENS, OH 45701-2745
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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