Individual
BETHANY ROHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1425 W LINCOLN HWY, DEKALB, IL 60115-2825
(815) 753-1401
Mailing address
1425 W LINCOLN HWY, DEKALB, IL 60115-2828
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096004253
IL
2255A2300X
Athletic Trainer
2601001345
MI
Other
Enumeration date
11/07/2014
Last updated
11/07/2023
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