Individual
ALLISON ENDERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC/L
Contact information
Practice address
15228 BRITTWOOD CT, FORT WAYNE, IN 46814-9464
(260) 452-6167
Mailing address
15228 BRITTWOOD CT, FORT WAYNE, IN 46814-9464
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002085A
IN
Other
Enumeration date
09/11/2015
Last updated
09/11/2015
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