Individual
MEGAN FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AT
Contact information
Practice address
5843 RAVENS RIDGE LN, CINCINNATI, OH 45247-5862
(513) 235-8068
Mailing address
5843 RAVENS RIDGE LN, CINCINNATI, OH 45247-5862
(513) 235-8068
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT005020
OH
Other
Enumeration date
12/26/2016
Last updated
12/26/2016
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