Individual
QUENTIN ROOSEVELT CAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
67530 US HIGHWAY 33, GOSHEN, IN 46526-8552
(574) 831-2184
Mailing address
1423 S STRONG AVE, ELKHART, IN 46514-1919
(574) 596-4958
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36003170A
IN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
01/07/2017
Last updated
01/31/2023
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