Individual
JORDAN BELLOMY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
6225 MISTOVER LN, CANAL WINCHESTER, OH 43110-9108
(614) 506-3852
Mailing address
6225 MISTOVER LN, CANAL WINCHESTER, OH 43110-9108
(614) 506-3852
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL3874
FL
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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