Individual
VICTORIA HOMMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT
Contact information
Practice address
112 JOYCE CTR, NOTRE DAME, IN 46556-5678
(574) 631-3090
Mailing address
2126 HOLLYWOOD PL, SOUTH BEND, IN 46616-2115
(574) 315-8891
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002449A
IN
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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