Individual
MEGHAN ELIZABETH MOLWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2236 S 900 W, JAMESTOWN, IN 46147-8901
(317) 500-1098
Mailing address
2236 S 900 W, JAMESTOWN, IN 46147-8901
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001756A
IN
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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