Individual
SAMANTHA KISILEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
754 NOTRE DAME AVE, CUYAHOGA FALLS, OH 44221-1219
(330) 592-2150
Mailing address
754 NOTRE DAME AVENUE, CUYAHOGA FALLS, OH 44221-1219
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT. 004045
OH
Other
Enumeration date
05/28/2013
Last updated
07/20/2015
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