Individual
VIVIANI SCHILLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.T.
Contact information
Practice address
351 S LANE ST, BUCYRUS, OH 44820-2319
(419) 562-6686
Mailing address
351 S LANE ST, BUCYRUS, OH 44820-2319
(419) 562-6686
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
004111
OH
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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