Individual
MRS. SHERRIE NORTHRUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AT
Contact information
Practice address
3100 BURNS RD, MADISON, OH 44057-2826
(440) 428-2164
Mailing address
2136 W 15TH ST, ASHTABULA, OH 44004-2726
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT734
OH
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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