Individual
COLLEEN EARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
20250 FALL CREEK DR, GOSHEN, IN 46528-6256
(815) 922-5660
Mailing address
20250 FALL CREEK DR, GOSHEN, IN 46528-6256
(815) 922-5660
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
OH
Other
Enumeration date
05/08/2015
Last updated
08/01/2015
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