Individual
DANIEL ETHAN ALLBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, AT
Contact information
Practice address
1265 LEXINGTON AVE, MANSFIELD, OH 44907-2613
(419) 525-4200
Mailing address
112 HARCOURT RD, SUITE 1, MOUNT VERNON, OH 43050-3946
(740) 392-8811
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.003409
OH
Other
Enumeration date
09/04/2013
Last updated
09/05/2013
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