Individual
MISS BAILEY NICOLE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AT, ATC
Contact information
Practice address
93 W CENTER ST, MILFORD CENTER, OH 43045-8008
(810) 522-7136
Mailing address
93 W CENTER ST, MILFORD CENTER, OH 43045-8008
(810) 522-7136
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT005856
OH
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
09/12/2017
Last updated
04/15/2019
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