Individual
COURTNEY L MOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1610 STADIUM DR, BOWLING GREEN, OH 43403-4302
(419) 509-5802
Mailing address
1967 PINELAWN DR, TOLEDO, OH 43614-3534
(419) 509-5802
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT005336
OH
Other
Enumeration date
04/10/2019
Last updated
04/10/2019
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