Individual
HEIDI M FEDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1710 LAFAYETTE RD, CRAWFORDSVILLE, IN 47933-1033
(765) 667-9291
Mailing address
7212 W 775 N, WINGATE, IN 47994-8211
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000840A
IN
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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