Individual
ABBEGAIL MEREDITH BLOCKSIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
453 W 10TH AVE, COLUMBUS, OH 43210-2205
(614) 292-1706
Mailing address
8567 HOLIDAY HILLS DR, CINCINNATI, OH 45255-2629
(513) 305-6299
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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