Individual
PAUL J AMENDOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2660 W MARKET ST STE 300, FAIRLAWN, OH 44333-4209
(330) 869-2635
Mailing address
2660 W MARKET ST STE 300, FAIRLAWN, OH 44333-4209
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003349
OH
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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