Individual
OLIVIA KATHRYN FAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
302 6TH ST APT D6, CORALVILLE, IA 52241-2573
(319) 883-2251
Mailing address
302 6TH ST APT D6, CORALVILLE, IA 52241-2573
(319) 883-2251
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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