Olivia Benner

NPI #1699219899 in New Lebanon, Ohio

Provider Information

NPI Number: 1699219899
Entity Type: Individual
Name: Olivia Benner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Dec 7, 2016
Last Updated: Dec 7, 2016

Practice Location

Address: 352 SHEEP RD
City: New Lebanon
State: Ohio
ZIP Code: 45345-9218
Phone: (937) 751-8355

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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