Individual
ABIGAIL L MANWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1004 E 1750 N, SUMMITVILLE, IN 46070-9038
(765) 618-9167
Mailing address
1004 E 1750 N, SUMMITVILLE, IN 46070-9038
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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