Individual
OLIVIA GRACE NEWHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
833 WASHINGTON AVE APT 4, HUNTINGTON, WV 25704-1700
(304) 644-6548
Mailing address
833 WASHINGTON AVE APT 4, HUNTINGTON, WV 25704-1700
(304) 644-6548
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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