Individual
MS. GENEVIEVE ELIZABETH LUDWIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
1 UNIVERSITY BLVD, ATHLETIC TRAINING QUINN COLISEUM, LAGRANDE, OR 97850-4008
(541) 962-3750
(541) 962-3577
Mailing address
3203 N UNION ST, LA GRANDE, OR 97850-4008
(702) 317-3178
(541) 962-3577
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-AT-1007472
OR
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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