Individual
CLAIRE DITMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 W CRUGER RD, WASHINGTON, IL 61571-9228
(309) 840-1696
Mailing address
1600 W CRUGER RD, WASHINGTON, IL 61571-9228
(309) 840-1696
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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