Individual
AUSTIN OMOHUNDRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
2508 ARIZONA AVE, EVANSVILLE, IN 47711-4032
(812) 459-4829
Mailing address
2508 ARIZONA AVE, EVANSVILLE, IN 47711-4032
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/04/2015
Last updated
09/10/2019
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