Individual
DIANA IVKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT
Contact information
Practice address
5402 HANNAH VIEW DR, FAIRFIELD, OH 45014-3927
(513) 939-1570
Mailing address
5402 HANNAH VIEW DR, FAIRFIELD, OH 45014-3927
(513) 939-1570
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT000539
OH
Other
Enumeration date
09/16/2013
Last updated
09/16/2013
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