Individual
BETH HAUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT
Contact information
Practice address
37545 DETROIT RD, AVON, OH 44011-2133
(440) 610-3133
Mailing address
35475 KELLER DR, AVON, OH 44011-1945
(440) 610-3133
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1935
OH
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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