Individual
ANGELA ZIOLKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
6926 WESLEY CT, INDIANAPOLIS, IN 46220-1130
(574) 303-2905
Mailing address
441 PRESTON DR, SOUTH BEND, IN 46615-3347
(574) 303-2905
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002072A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000010189
BOC
—
Enumeration date
03/05/2014
Last updated
03/05/2014
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