Individual
JENNA GINSBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 N GRAND BLVD, SAINT LOUIS, MO 63103-2006
(800) 758-3678
Mailing address
0N102 ALEXANDER DR, GENEVA, IL 60134-6001
(630) 460-0912
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
STUDENT
—
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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