Individual
ZACHARY P SOVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
12845 TOUCHDOWN DR, FISHERS, IN 46037-7559
(260) 224-7101
Mailing address
12845 TOUCHDOWN DR, FISHERS, IN 46037-7559
(260) 224-7101
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002116A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36002116A
ATHLETIC TRAINER LICENSE
IN
Enumeration date
01/10/2014
Last updated
12/03/2015
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