Owen Shoemaker

NPI #1023486792 in London, Ohio

Provider Information

NPI Number: 1023486792
Entity Type: Individual
Name: Owen Shoemaker
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Sep 10, 2015
Last Updated: Sep 10, 2015

Practice Location

Address: 67 WILLIS AVE
City: London
State: Ohio
ZIP Code: 43140-1048
Phone: (614) 849-8169

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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