Individual
CORBEN ALAN HARTZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
6019 BELLE TERRE WAY, ARCANUM, OH 45304-8201
(937) 621-7459
Mailing address
6019 BELLE TERRE WAY, ARCANUM, OH 45304-8201
(937) 621-7459
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
OH
Other
Enumeration date
08/30/2018
Last updated
06/17/2021
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