Individual
REBEKKAH DANIELLE GASTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1231 W KEMPER RD, CINCINNATI, OH 45240-1617
(513) 315-4505
Mailing address
206 DARST RD APT 3A, DAYTON, OH 45440-3443
(513) 315-4505
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT005801
OH
Other
Enumeration date
09/29/2011
Last updated
06/10/2020
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