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Individual

NEAL GLAVIANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D , AT, ATC

Contact information

Practice address
2801 W. BANCROFT ST, MAILSTOP 119, TOLEDO, OH 43606
(203) 988-4381
Mailing address
2801 W. BANCROFT ST, MAILSTOP 119, TOLEDO, OH 43606
(203) 988-4381

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
005026
OH
2255A2300X
Athletic Trainer
0126001224
VA
2255A2300X
Athletic Trainer
566
CT

Other

Enumeration date
01/25/2012
Last updated
02/05/2019
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