Individual
MRS. CONNIE CATHERINE DAUM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
1000 E WASHINGTON ST, MEDINA, OH 44256-2170
(330) 725-1000
Mailing address
3426 E SMITH RD, MEDINA, OH 44256-8734
(330) 722-3096
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001548
OH
Other
Enumeration date
04/07/2006
Last updated
07/08/2007
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