Individual
AMANDA INGOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
7774 DAYTON SPRINGFIELD RD, FAIRBORN, OH 45324-1957
(937) 340-6488
(937) 340-6512
Mailing address
7774 DAYTON SPRINGFIELD RD, FAIRBORN, OH 45324-1957
(937) 340-6488
(937) 340-6512
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003220
OH
Other
Enumeration date
12/03/2013
Last updated
01/08/2020
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