Individual
EMILY LODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 IRVING SCHOTTENSTEIN DR, COLUMBUS, OH 43210-1069
(484) 949-4977
Mailing address
2205 ACADIA TRAIL DR APT 108, COLUMBUS, OH 43228-4001
(484) 949-4977
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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