Individual
CAROLYN STOCKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4460 RED BANK RD STE 110, CINCINNATI, OH 45227-2173
(513) 221-5500
Mailing address
2139 AUBURN AVE OFC 1913, CINCINNATI, OH 45219-2989
(513) 557-4891
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003802
OH
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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