Individual
MARY SPINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 MACARTHUR BLVD, MUNSTER, IN 46321-2915
(219) 378-0464
Mailing address
801 MACARTHUR BLVD, MUNSTER, IN 46321-2915
(219) 378-0464
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000527A
IN
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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