Individual
SOPHIA POLLALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
12800 MISSISSIPPI PKWY, CROWN POINT, IN 46307-6900
(219) 662-5226
Mailing address
12800 MISSISSIPPI PKWY, CROWN POINT, IN 46307-6900
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002279A
IN
Other
Enumeration date
10/25/2018
Last updated
02/03/2021
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