Individual
TYLER N CONGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
584 COUNTY LINE RD W, WESTERVILLE, OH 43082-7245
(614) 355-6045
Mailing address
7448 STONE VALLEY LN, NEW ALBANY, OH 43054-8817
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT003598
OH
Other
Enumeration date
08/01/2012
Last updated
08/01/2012
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